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NPI · 1609012624 · NPPES-sourced

Southern Minnesota Periodontics, PA

ActivePeriodontics
NPI Number
1609012624
Type 2 · Organisation
Taxonomy Code
1223P0300X
Contact
(507) 345-7537
License MN · 8671
Last Updated
Enumerated
Primary practice addressMN · 56001-4876
99 Navaho Ave, Suite 102Mankato, MN 56001-4876
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About this NPIWhat this record shows.

NPI 1609012624 is registered to Southern Minnesota Periodontics, PA, a healthcare organisation classified as "Periodontics" and located at 99 Navaho Ave, Suite 102 in Mankato, Minnesota. The organisation's authorised official is Gary Jernberg. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 000839878PA· Issued by UNITED CONCORDIA
  • 1B004JEMN· Issued by BCBS OF MINNESOTA

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southern Minnesota Periodontics, PA accepts. To confirm in-network status with your specific health plan, contact Southern Minnesota Periodontics, PA directly at (507) 345-7537.

Frequently asked

Yes. NPI 1609012624 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Periodontics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (507) 345-7537.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southern Minnesota Periodontics, PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0300X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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