Individual provider Active NPI

John M Stentz, DDS

  • General Practice Dentistry
  • Circle Pines, MN
National Provider Identifier
1881655538
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11660 Issued in MN
Practice address
640 Civic Heights Dr
Circle Pines, MN 55014
Phone
(763) 786-3432
NPI assigned
Mar 31, 2006
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11660 MN Primary

Addresses

Primary practice location

640 Civic Heights Dr
Circle Pines, MN 55014

Mailing address

640 Civic Heights Dr
Circle Pines, MN 55014-1792
Phone (763) 786-3432

Other practice location 1

13040 Riverdale Dr NW
Suite 600
Coon Rapids, MN 55448-8406
Phone (763) 323-3042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11660MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Pines Dental P.a. General Practice Past Accepting new patients
Northland Dental Partners, PLLC General Practice PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1881655538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CIVIC HEIGHTS DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141792",
            "telephone_number": "763-786-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CIVIC HEIGHTS DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "55014",
            "telephone_number": "763-786-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13040 Riverdale Dr NW",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554488406",
            "country_code": "US",
            "telephone_number": "763-323-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STENTZ",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circle Pines, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.