Active NPI
Dakota County
- Community/Behavioral Health Agency
- West St Paul, MN
National Provider Identifier
1962721175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DAKOTA COUNTY
- Practice address
- 1 Mendota Rd W Ste 300
West St Paul, MN 55118-4770 - Phone
- (651) 438-4539
- Fax
- (651) 438-4603
- NPI assigned
- May 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tony Nelson
- Title
- Manager Accts Rec
- Phone
- (651) 438-4363
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1 Mendota Rd W Ste 300
West St Paul, MN 55118-4770
Mailing address
1590 Highway 55
Hastings, MN 55033-2343
Phone (651) 438-4636
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144494527 | Medicaid | MN | |
| 1285722272 | Medicaid | MN | |
| 142127620 | Medicaid | MN | |
| 1053409003 | Medicaid | MN | |
| 1548424658 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Dakota County Jail Treatment Program
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Saint Paul, MN
- NPI 1285722272
-
- Community/Behavioral Health Agency
- West St Paul, MN
- NPI 1316266521
-
- Case Management Agency
- Saint Paul, MN
- NPI 1427127620
-
- Community/Behavioral Health Agency
- Hastings, MN
- NPI 1548424658
-
- Community/Behavioral Health Agency
- West St Paul, MN
- NPI 1144494527
-
- Substance Use Disorder Rehabilitation Clinic/Center
- West St Paul, MN
- NPI 1053576751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408924800000",
"number": "1962721175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 HIGHWAY 55",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550332343",
"telephone_number": "651-438-4636",
"fax_number": "651-438-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MENDOTA RD W STE 300",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551184770",
"telephone_number": "651-438-4539",
"fax_number": "651-438-4603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2014-08-25",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "MANAGER ACCTS REC",
"authorized_official_telephone_number": "651-438-4363",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144494527",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285722272",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142127620",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053409003",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548424658",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.