Active NPI
Gary Dane Plotz Jr., D.D.S.
- General Practice Dentistry
- Slayton, MN
National Provider Identifier
1881639201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12229
- Practice address
- 2711 Broadway Ave
Suite 100
Slayton, MN 56172-1313 - Phone
- (507) 836-1000
- Fax
- (507) 836-1008
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Slayton, MN
- NPI 1477553352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026000080 | MN | Order and Referring Only - Dentist | 9133407109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Murray County, Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12229 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2711 Broadway Ave
Suite 100
Slayton, MN 56172-1313
Mailing address
2711 Broadway Ave
Suite 100
Slayton, MN 56172-1313
Phone (320) 266-0838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881639201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 BROADWAY AVE",
"address_2": "SUITE 100",
"city": "SLAYTON",
"state": "MN",
"postal_code": "561721313",
"telephone_number": "320-266-0838",
"fax_number": "507-836-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 BROADWAY AVE",
"address_2": "SUITE 100",
"city": "SLAYTON",
"state": "MN",
"postal_code": "561721313",
"telephone_number": "507-836-1000",
"fax_number": "507-836-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTZ",
"first_name": "GARY",
"middle_name": "DANE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "12229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slayton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.