DR. BENJAMIN CODY DEXTER (NPI# 1982016176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982016176 |
Entity Type | Individual |
Full Name | DR. BENJAMIN CODY DEXTER |
Credential | M.D. |
Practice Address |
1421 Premier Dr Mankato MN 56001-6076 |
Mailing Address |
1230 E Main Street Po Box 8674 Mankato MN 56002-8674 |
Practice Telephone | 5076251811 |
Mailing Telephone | 5076251811 |
Enumeration Date | 2014-05-22 |
Last Update Date | 2020-07-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 61527 | MN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 582WW1773 | IA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447687942 | Benjamin B Dexter | Physician Assistant | 2000 Highway 95, Suite 200, Bullhead City, AZ 86442-6050 | 2013-09-30 |
Street Address |
1421 PREMIER DR |
City | MANKATO |
State | MN |
Zip Code | 56001-6076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225032980 | Darla J Wrage | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2005-06-10 |
1780214890 | Sarah Lynnette Martens | Physician Assistant | 1421 Premier Dr, Mankato, MN 56001-6076 | 2020-01-17 |
1801381603 | Nicole Fischbach | Family Medicine | 1421 Premier Dr, Mankato, MN 56001-6076 | 2018-06-25 |
1942732763 | Kelly Marie Bryan | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2017-03-30 |
1659750701 | Amy Deehr | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2015-05-22 |
1295145902 | Gillette Children's Specialty Healthcare | Prosthetic/Orthotic Supplier | 1421 Premier Dr, Suite 100, Mankato, MN 56001-6076 | 2014-05-02 |
1376978874 | Amanda E Bohn | Audiologist | 1421 Premier Dr, Mankato, MN 56001-6076 | 2013-09-04 |
1245597046 | Colin W. Weerts | Family Medicine | 1421 Premier Dr, Mankato, MN 56001-6076 | 2012-04-18 |
1811254022 | Meagan Crary | Nurse Practitioner | 1421 Premier Dr, Suite 100, Mankato, MN 56001-6076 | 2012-04-12 |
1316212632 | Brett James Baldwin | Otolaryngology | 1421 Premier Dr, Mankato, MN 56001-6076 | 2012-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255785572 | Kate Follese | Pediatrics | 1025 Marsh St Fl 1, Mankato, MN 56001 | 2016-04-22 |
1255525614 | Satya Jammalamadaka | Pediatrics | 117 Mayan Way, Mankato, MN 56001-4129 | 2007-08-29 |
1619956653 | Catherine A Davis | Pediatrics | 1400 E Madison Ave Ste 400a, Mankato, MN 56001-6805 | 2006-01-10 |
1225032980 | Darla J Wrage | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2005-06-10 |
1942732763 | Kelly Marie Bryan | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2017-03-30 |
1538519400 | Emily Beatrice Mccargar | Pediatrics | 101 Martin Luther King Dr, Mankato, MN 56001 | 2016-06-21 |
1053774406 | Manasa Karumuri | Pediatrics | 1025 Marsh St, Mankato, MN 56001-4752 | 2016-04-02 |
1659750701 | Amy Deehr | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2015-05-22 |
1225416464 | Rachel L. Singh | Pediatrics | 1025 Marsh St, Mankato, MN 56001 | 2015-05-07 |
1659787620 | Fnu Arun Prasath | Pediatrics | 1025 Marsh Street, Mayo Clinic Health System, Mankato, MN 56001 | 2014-07-10 |
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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.