NPIMap

Organization Active NPI

Heritage Dental Care LTD

  • General Practice Dentistry
  • Northfield, MN
National Provider Identifier
1932329638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8879 Issued in MN
Legal business name
HERITAGE DENTAL CARE LTD
Practice address
2011 Jefferson Road
Northfield, MN 55057-3159
Phone
(507) 645-9543
Fax
(507) 645-5612
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John H Ehresmann, D.D.S.NPI 1972679066
Title
Owner
Phone
(507) 645-9543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8879 MN Primary

Addresses

Primary practice location

2011 Jefferson Road
Northfield, MN 55057-3159

Mailing address

2011 Jefferson Road
Northfield, MN 55057-3159
Phone (507) 645-9543

National Provider Directory

National Provider Directory

Locations

2011 Jefferson Rd
Northfield, MN 55057
Phone (507) 645-9543

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932329638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 JEFFERSON ROAD",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573159",
            "telephone_number": "507-645-9543",
            "fax_number": "507-645-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 JEFFERSON ROAD",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573159",
            "telephone_number": "507-645-9543",
            "fax_number": "507-645-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EHRESMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-645-9543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.