DRS Elrod Green DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7537 Issued in MN

Legal business name

DRS ELROD GREEN DDS PA

Practice address

800 1St Ave SW
Austin, MN 55912

Phone

(507) 437-8208

Fax

(507) 433-7348

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David A Elrod, DDS

Title

Pres

Phone

(507) 437-8208

Specialties & licenses 2

Addresses

Tax ID family

DRS Elrod Green DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Swift, Elrod and Green DDS

  • Dental Clinic/Center
  • Austin, MN
  • NPI 1053662965
  NPD tax ID

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972712321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-437-8208",
            "fax_number": "507-433-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-437-8208",
            "fax_number": "507-433-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ELROD GREEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELROD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "507-437-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7537",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Mullen Dowell, D.O.
• Kelsey Shirley Dowell, D.O.
• Draayer Chiropractic, Inc.
• Patrick Arthur Draayer, D.C.
• Jennifer T Dreyer, LPN
• Duane J Wallaker OD
• Cynthia Marie Dube, M.D.
• Todd J Dube
• Jose R Duenes
• Erin Nicole Dankert Eggum, DO, MHA

• General Practice Dentistry in Austin, MN
• Providers in Austin, MN by specialty
• General Practice Dentistry in Minnesota

• 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.