Luverne Family Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LUVERNE FAMILY DENTAL, PLLC

Practice address

115 E Main St
Luverne, MN 56156-1830

Phone

(507) 283-9129

NPI assigned

Feb 26, 2021

Organization subpart

No

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

Authorized official

Name

Matthew P Ford, DMDNPI 1477935088

Title

Owner

Phone

(320) 247-0953

Specialties & licenses 1

Addresses

Other names 1

• Luverne Family Dental Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew P Ford, DMD

  • Dentist
  • Melrose, MN
  • NPI 1477935088
  NPD Authorized official
• Rebecca Ann Hup, D.D.S.

  • General Practice Dentistry
  • Cloquet, MN
  • NPI 1598059008
  NPD (past)
• Robert Stephen Kaczrowski, DDS

  • Dentist
  • Luverne, MN
  • NPI 1225143449
  NPD (past)
• Adam Hintze Klein, DDS

  • Dentist
  • Luverne, MN
  • NPI 1235205030
  NPD (past)

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1992399224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561830",
            "telephone_number": "507-283-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUVERNE FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-247-0953",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luverne Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory J Kuiper, M.D.
• Margaret Joan Kuiper, M.A.,R.D.,L.D.,
• Kathleen Marie Loosbrock, PTA
• Tammy K Loosbrock, DPT, MBA
• Luverne Counseling
• Luverne Health & Wellness
• Luverne Public School
• Christine Marie Mann, MSW, LICSW, LADC
• Shawna Marshall, MA, LPCC
• George Arthur McDonald, OD

• All providers in Luverne, MN
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.