Scott Andrew Funke, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14304 Issued in MN

Practice address

30 3Rd St SE Ste 202
Rochester, MN 55904-3815

Phone

(507) 289-8707

NPI assigned

Jun 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1922480631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 3RD ST SE STE 202",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559043815",
            "telephone_number": "507-289-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 3RD ST SE STE 202",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559043815",
            "telephone_number": "507-289-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKE",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001135",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koji Funaishi, MD
• Masaki Funamoto, M.D.
• Jaydi Funk, PHARM.D.
• Stephanie Funk, D.P.T.
• Denise M. Funke, RD
• Joseph W Furst, M.D.
• Yuka Furuya, M.D.
• W Bruce Fye III, M.D.
• Faith Catherine Gabel
• Katrina L Gabelko, APRN CNP

• Dentist in Rochester, MN
• Providers in Rochester, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.