Discovery Woods Montessori

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DISCOVERY WOODS MONTESSORI

Practice address

604 7TH Street North
Brainerd, MN 56401

Phone

(218) 251-8902

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Wanda Lane

Title

Third Party Administrator

Phone

(218) 454-5532

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1962770768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 OAK STREET",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-251-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 7TH STREET NORTH",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-251-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY WOODS MONTESSORI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "218-454-5532"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin William Dens, DDS
• Tammy Lynn Derosier
• Vishnuteja V Devalla, M.D.
• Diagnostic Imaging Specialists, P.a.
• Danette Lee Diethert, PMHNP
• Catherine Disterhaupt, LPCC
• Shawn Rae Disterhaupt
• Marci Marie Douts, LPCC
• Samuel Duberowski, DDS
• Susan K Dudding, CNP

• Local Education Agency (LEA) in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.