OPEN DOOR HEALTH CENTER - MOBILE DENTAL
NPI 1356611404
Clinic/Center - Federally Qualified Health Center (FQHC) in Mankato, MN

Active since January 06, 2012
309 HOLLY LN, MANKATO, MN 56001(507) 388-2120(507) 388-3924 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Open Door Health Center - Mobile Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPEN DOOR HEALTH CENTER - MOBILE DENTAL (NPI 1356611404) is a healthcare organization registered as a federally qualified health center (fqhc) in Mankato, Minnesota and active in the NPI registry since January 2012. The organization lists Douglas L Jaeger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356611404
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR HEALTH CENTER
Location Address309 HOLLY LNMankato, MN 56001-5422
Mailing Address309 Holly LnMankato, MN 56001-5422 · (507) 388-2120 · Fax (507) 388-3924
Fax(507) 388-3924
Organization SubpartNo
Authorized OfficialDouglas L JaegerCeo · (507) 344-5500
Enumeration DateJanuary 6, 2012
Last NPPES UpdateApril 4, 2016
NPI 1356611404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
309 HOLLY LN, Mankato, MN 56001

Other Names 1

Other NameOpen Door Health Center - Mobile Dental

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
309 HOLLY LN
MANKATO, MN 56001
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Marriage & Family Therapist
309 HOLLY LN
MANKATO, MN 56001
Dentist (General Practice)
309 HOLLY LN
MANKATO, MN 56001
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Dental Hygienist
309 HOLLY LN
MANKATO, MN 56001
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Nurse Practitioner (Psychiatric/Mental Health)
309 HOLLY LN
MANKATO, MN 56001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Open Door Health Center's NPI number?

The NPI number for Open Door Health Center is 1356611404. It was assigned to this organization in the NPPES registry on January 6, 2012. The provider is also known as Open Door Health Center - Mobile Dental.

Where is Open Door Health Center located?

Open Door Health Center is located at 309 Holly Ln, Mankato, MN 56001. The listed phone number is (507) 388-2120.

What is Open Door Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Open Door Health Center was last updated on April 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.