North Mankato Family Dentistry PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NORTH MANKATO FAMILY DENTISTRY PA

Practice address

1400 Lookout Drive
North Mankato, MN 56003

Phone

(507) 625-2273

Fax

(507) 625-2490

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Angela M Schuck, DDSNPI 1194884478

Title

Doctor Owner

Phone

(507) 625-2273

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela M Schuck, DDS

  • Dentist
  • North Mankato, MN
  • NPI 1194884478
  NPD (past) Authorized official
• Keith P Flack, DDS

  • Dentist
  • North Mankato, MN
  • NPI 1740355064
  NPD (past)
• James A Schom, DDS MSD

  • Prosthodontics
  • North Mankato, MN
  • NPI 1952416497
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1881769198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LOOKOUT DRIVE",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "56003",
            "telephone_number": "507-625-2273",
            "fax_number": "507-625-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOOKOUT DRIVE",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "56003",
            "telephone_number": "507-625-2273",
            "fax_number": "507-625-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MANKATO FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SCHUCK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR  OWNER",
        "authorized_official_telephone_number": "507-625-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Laurel Murphey
• Myrna Yenter Outpatient Mental Health Services
• Breanna Nessler, DC
• Mary Lisa Neuzil, OTR
• Joline Nordlee
• Northern Lights Psychiatric Services, PLLC
• Oak Terrace Assisted Living of North Mankato
• Malinda Elizabeth Petersen
• Martha Pietsch
• Sara Anne Pitzer, APRN, CNP

• Dentist in North Mankato, MN
• Providers in North Mankato, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.