OPEN DOOR HEALTH CENTER (NPI# 1245682905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245682905 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR HEALTH CENTER |
| Practice Address |
1025 10th Ave Clarkfield MN 56223-1301 |
| Mailing Address |
309 Holly Ln Mankato MN 56001-5422 |
| Practice Telephone | 3206697564 |
| Mailing Telephone | 5073882120 |
| Mailing Fax Number | 5073888351 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | MR. DOUGLAS L JAEGER JR. (CEO) |
| Authorized Official Telephone | 5073445500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
261QF0400X | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 201094100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114446283 | Open Door Health Center | Dentist | 115 Broadway St S, Jordan, MN 55352-1664 | 2017-09-11 |
| 1881751436 | Open Door Health Center | Clinic/Center | 1350 Sw 4th St, Homestead, FL 33030-6820 | 2007-01-02 |
| 1699211862 | Open Door Health Center | Nurse Practitioner | 1212 E College Dr, Marshall, MN 56258-2010 | 2017-01-12 |
| 1225582380 | Open Door Health Center | Dentist | 231 W Main St, Cottonwood, MN 56229-2121 | 2016-08-06 |
| 1861736456 | Open Door Health Center | Family Medicine | 8466 W Pahs Rd, Michigan City, IN 46360-2919 | 2012-11-20 |
| 1710257860 | Open Door Health Center | Clinic/Center | 309 Holly Ln, Mankato, MN 56001-5422 | 2012-01-06 |
| 1356611404 | Open Door Health Center | Clinic/Center | 309 Holly Ln, Mankato, MN 56001-5422 | 2012-01-06 |
| 1891740908 | Open Door Health Center | Clinic/Center | 309 Holly Ln, Mankato, MN 56001-5422 | 2006-05-24 |
| Street Address |
1025 10TH AVE |
| City | CLARKFIELD |
| State | MN |
| Zip Code | 56223-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538255385 | Carol Lynn Anderson | Dentist | 1025 10th Ave, Clarkfield, MN 56223-1301 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932316965 | S. A. Patel D.d.s., P.a. | Dentist | 1025 10th Ave. Box 676, Clarkfield, MN 56223-0676 | 2007-05-17 |
| 1821334848 | Clarkfield Area Charter School | Local Education Agency (LEA) | 301 13th St, Clarkfield, MN 56223-1218 | 2012-12-19 |
| 1134159460 | Clarkfield Care Center | Ambulance | 805 5th St, Clarkfield, MN 56223-1229 | 2006-07-03 |
| 1144523929 | Handeland Chiropractic, LLC | Chiropractor | 920 10th St, Suite 7, Clarkfield, MN 56223-1304 | 2010-12-16 |
| 1699953760 | Bradley Kenneth Handeland | Chiropractor | 920 10th St Ste 7, Handeland Chiropractic, Clarkfield, MN 56223-1304 | 2008-01-31 |
| 1497827992 | Larson Drug | Pharmacy | 941 10th St, Clarkfield, MN 56223-1304 | 2006-11-14 |
| 1548291404 | Clarkfield Care Center | Skilled Nursing Facility | 805 5th St, Clarkfield, MN 56223-1348 | 2006-07-06 |
| 1245261130 | Clarkfield Care Center | Home Health | 805 5th St, Clarkfield, MN 56223-1348 | 2006-07-06 |
| 1811336043 | Jacob Peder Bollman | Optometrist | 4559 290th Ave, Clarkfield, MN 56223-3570 | 2013-06-20 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538255385 | Carol Lynn Anderson | Dentist | 1025 10th Ave, Clarkfield, MN 56223-1301 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CLARKFIELD |
| Zip Code | 56223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.