MS. DAWN RENEE RESTAD (NPI# 1942424841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942424841 |
Entity Type | Individual |
Full Name | MS. DAWN RENEE RESTAD |
Credential | IBO |
Practice Address |
450 1st Ave S Perham MN 56573-1601 |
Practice Telephone | 2182054330 |
Practice Fax Number | 2183461237 |
Mailing Telephone | 2182054330 |
Mailing Fax Number | 2183461237 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | MN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICA PROVIDER NUMBER | 0199999 | 01 |
Street Address |
450 1ST AVE S |
City | PERHAM |
State | MN |
Zip Code | 56573-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
1164917233 | Katlin Larson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573 | 2018-06-29 |
1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
Find all providers in zip 56573 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534730 | Linda Kellee Erickson | Contractor | 3810 Rum River Dr, Anoka, MN 55303-1103 | 2020-10-07 |
1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
1225641426 | Ibrahim Mohamud | Contractor | 1906 Clinton Ave Apt 105, Minneapolis, MN 55404-2752 | 2020-08-26 |
1669092003 | Jms Custom Homes, LLC | Contractor | 6035 Culligan Way, Minnetonka, MN 55345-5918 | 2020-04-24 |
1295366029 | Randall Jay Sampson | Contractor | 24668 Hamlet Ave, Forest Lake, MN 55025-8781 | 2020-01-30 |
1730710401 | Ashley Schaefer | Contractor | 36073 Dolphin St Nw, Princeton, MN 55371-5274 | 2020-01-30 |
1710536123 | Gavin Quinn | Contractor | 11519 Arnold Palmer Dr, Blaine, MN 55449-5490 | 2019-09-09 |
1306490917 | Rosie Walker | Contractor | 1875 Dell St, White Bear Lake, MN 55110-5365 | 2019-07-31 |
1265096374 | Brett Tupy | Contractor | 7548 236th St E, Lakeville, MN 55044-9813 | 2019-04-24 |
1770045072 | Regina Kristine Toensing | Contractor | 6270 141st Ln Nw, Ramsey, MN 55303-5686 | 2019-04-04 |
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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.