Individual provider Active NPI

Alyssa Lynn Delgado, RDH

  • Dental Therapist
  • Mankato, MN
National Provider Identifier
1992288666
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental TherapistTaxonomy code 125J00000X
License
DT207 Issued in MN
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

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
H10384MNMDDental Hygienist
RDT106MNMDDental 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.

Verify at the official NPI Registry.