NPIMap

Organization Active NPI

Minnesota State University

  • Local Education Agency (LEA)
  • Mankato, MN
National Provider Identifier
1972683183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
8361 Issued in MN
Legal business name
MINNESOTA STATE UNIVERSITY
Practice address
3 Morris Hall
Dental Clinic
Mankato, MN 56001-6043
Phone
(507) 389-1313
Fax
(507) 389-5850
NPI assigned
Oct 16, 2006
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
Mrs. Lynnette M Engeswick, R.D.H., M.S.
Title
Chairperson
Phone
(507) 389-5848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 8361 MN Primary

Addresses

Primary practice location

3 Morris Hall
Dental Clinic
Mankato, MN 56001-6043

Mailing address

3 Morris Hall
Dental Clinic
Mankato, MN 56001-6043
Phone (507) 389-1313

National Provider Directory

National Provider Directory
Tax ID family
Minnesota State College and Universities27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

3 Morris Hall
Mankato, MN 56001
Phone (507) 389-1067

30 7th St E
Ste 350
Saint Paul, MN 55101

Practitioners & affiliated clinicians

Practitioners 3

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972683183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MORRIS HALL",
            "address_2": "DENTAL CLINIC",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016043",
            "telephone_number": "507-389-1313",
            "fax_number": "507-389-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MORRIS HALL",
            "address_2": "DENTAL CLINIC",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016043",
            "telephone_number": "507-389-1313",
            "fax_number": "507-389-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGESWICK",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "507-389-5848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.H., M.S."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "8361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, 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.