Active NPI
Alyssa Lynn Delgado, RDH
- Dental Therapist
- Mankato, MN
National Provider Identifier
1992288666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT207
- Practice address
- 150 South Road
CSB 334
Mankato, MN 56001 - Phone
- (505) 328-5749
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT207 | MN | Primary |
| Dental Hygienist | 124Q00000X | H10384 | MN |
Addresses
Primary practice location
150 South Road
CSB 334
Mankato, MN 56001
Mailing address
212 Leray Ave
Eagle Lake, MN 56024-9645
Phone (505) 328-5749
Other practice location 1
1550 Adams St
Mankato, MN 56001-5192
Phone (507) 387-2603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H10384 | MN | MD | Dental Hygienist |
| RDT106 | MN | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1992288666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 LERAY AVE",
"city": "EAGLE LAKE",
"state": "MN",
"postal_code": "560249645",
"telephone_number": "505-328-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SOUTH ROAD",
"address_2": "CSB 334",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "505-328-5749"
}
],
"practiceLocations": [
{
"address_1": "1550 Adams St",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560015192",
"country_code": "US",
"telephone_number": "507-387-2603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "ALYSSA",
"middle_name": "LYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT207",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H10384",
"primary": false
}
],
"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 Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.