Compass Dental PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D11112 Issued in MN

Legal business name

COMPASS DENTAL PA

Practice address

114 3Rd St N
Cannon Falls, MN 55009-2011

Phone

(507) 263-4501

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Curtis Callstrom, DDSNPI 1356343230

Title

Owner

Phone

(507) 263-4501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

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.

• Daniel Curtis Callstrom, D.D.S.

  • Dentist
  • Cannon Falls, MN
  • NPI 1356343230
  Medicare reassignment NPD Authorized official
• Patrick James McIntee, DC

  • Chiropractor
  • Cannon Falls, MN
  • NPI 1821147398
  NPD
• Rachel Laurel Wetzsteon

  • Dental Therapist
  • Cannon Falls, MN
  • NPI 1063163491
  NPD
• Jacob Austin Wolf, DDS

  • General Practice Dentistry
  • Cannon Falls, MN
  • NPI 1760121586
  NPD
• Emma Louwagie

  • Dental Hygienist
  • Woodbury, MN
  • NPI 1740148147
  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1932644648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 3RD ST N",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550092011",
            "telephone_number": "507-263-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 3RD ST N",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550092011",
            "telephone_number": "507-263-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "CALLSTROM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-263-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cannon Falls Snyder Phcy Inc
• Cannon Valley Chiropractic,LLC
• Chasing Life-With Kala Marie
• Evie Christensen
• City of Cannon Falls (Cannon Falls Ambulance)
• Fiona Ethel Demel, D.C.
• David G Detert, MD
• Fiona E. Fletcher D.C. LTD. (Body Works Clinic)
• Jennifer Lynn Fogarty, DPT
• Daniel Scott Freeman

• Dental Clinic/Center in Cannon Falls, MN
• Providers in Cannon Falls, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.