DR. JOHN CHARLES BENGTSON (NPI# 1427007913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427007913 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES BENGTSON |
| Credential | D.D.S. |
| Practice Address |
300 South Park St. Fairfax MN 55332 |
| Mailing Address |
300 South Park St. Fairfax MN 55332-0484 |
| Practice Telephone | 5074267794 |
| Practice Fax Number | 5074267794 |
| Mailing Telephone | 5074267794 |
| Mailing Fax Number | 5074267794 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D6844 | MN | Dental Providers |
| Street Address |
300 SOUTH PARK ST. |
| City | FAIRFAX |
| State | MN |
| Zip Code | 55332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609946623 | Kari Maeland Weikle | Physical Therapist | 300 South Park St., Fairfax, MN 55332 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770580664 | City of Fairfax | Ambulance | 112 1st Street Se, Fairfax, MN 55332-0911 | 2005-07-07 |
| 1225164494 | Denine&chuck Kay Hellendrung | Contractor | 64732 490th St, Fairfax, MN 55332-2078 | 2007-02-24 |
| 1710963251 | Fairfax Community Home Inc | Skilled Nursing Facility | 300 10th Ave Se, Fairfax, MN 55332-2149 | 2005-12-16 |
| 1437487758 | Fairfax Community Home Health | Home Health | 300 10th Ave Se, Fairfax, MN 55332-2149 | 2009-11-24 |
| 1992812630 | Pamela Kaye Munson | Counselor | 66354 440th St, Fairfax, MN 55332-3017 | 2006-08-25 |
| 1447245279 | Fairfax Medical Clinic Pa | Family Medicine | 300 Park St S, Fairfax, MN 55332-3153 | 2005-09-19 |
| 1164617866 | Thomas Frederick Gilles | Family Medicine | 300 Park St S, Fairfax, MN 55332-3153 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144147 | Emily Turner | Nurse Practitioner | 1099 Main St, Fairfax, VT 05454-9529 | 2020-11-06 |
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1679173777 | Farshad Soltanian | Pharmacist | 11181 Lee Hwy # F, Fairfax, VA 22030-5004 | 2020-10-28 |
| 1083214357 | Laci Ann Tang | Lactation Consultant, Non-RN | 5221 Concordia St, Fairfax, VA 22032-3409 | 2020-10-27 |
| 1689274847 | Ruby Lee | Pharmacist | 12190 Waveland St Apt 401, Fairfax, VA 22033-5572 | 2020-10-27 |
| 1154920163 | Vera D Daniel | Social Worker | 4110 Chain Bridge Rd Ste 316, Fairfax, VA 22030-4020 | 2020-10-21 |
| 1962001156 | Maggie Mcinturff | Physical Therapist | 3620 Joseph Siewick Dr Ste 100a, Fairfax, VA 22033-1757 | 2020-10-20 |
| 1780282152 | Rachel Tsipora Chalom | Speech-Language Pathologist | 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| Find all providers in FAIRFAX | ||||
| 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 |
|---|---|---|---|---|
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1194367623 | Ruhee Jaffer | Dentist | 11213 Lee Hwy Ste A, Fairfax, VA 22030-5698 | 2019-10-16 |
| 1093367310 | Gina Genevia Askander | Dentist | 2810 Old Lee Hwy Ste 200a, Fairfax, VA 22031-4376 | 2019-07-16 |
| 1609436989 | Hanwool Kim | Dentist | 8303 Arlington Blvd Ste 104, Fairfax, VA 22031-2903 | 2019-06-18 |
| 1942776182 | Sapphire Dental Pllc | Dentist | 8622 Lee Hwy, Fairfax, VA 22031-2173 | 2018-10-15 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1710496294 | Fairfax Dentistry, Pllc | Dentist | 11351 Random Hills Rd Ste 102, Fairfax, VA 22030-6081 | 2017-09-27 |
| 1558886580 | Marc Dh Eun | Dentist | 4511 Plateau Dr, Fairfax, VA 22030-6281 | 2017-08-10 |
| 1639603459 | Kouros Hedayati, Dds, Plc | Dentist | 3545 Chain Bridge Rd Ste 5, Fairfax, VA 22030-2708 | 2017-04-18 |
| Find all providers in FAIRFAX | ||||
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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.