Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRUCE JAMES MATHIASON DDS
NPI 1366405722
Dentist - General Practice in Walnut Grove, MN

Active since April 07, 2006
400 7TH ST, WALNUT GROVE, MN 56180(507) 859-2179(507) 859-2178 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bruce James Mathiason Dds NPPES

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

DR. BRUCE JAMES MATHIASON DDS (NPI 1366405722) is an individual general practice provider in Walnut Grove, Minnesota, licensed in Minnesota (D8569) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1366405722
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRUCE JAMES MATHIASONCredential: DDS
Location Address400 7TH STWalnut Grove, MN 56180-9203
Mailing Address400 7th StWalnut Grove, MN 56180-9203 · (507) 859-2179 · Fax (507) 859-2178
Fax(507) 859-2178
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1366405722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D8569
Definition
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.
400 7TH ST, Walnut Grove, MN 56180

Other Identifiers 1

Other2420L8000MN · Medicalassistance

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 Bruce Mathiason's NPI number?

The NPI number for Bruce Mathiason is 1366405722. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Bruce Mathiason located?

Bruce Mathiason practices at 400 7th St, Walnut Grove, MN 56180. The listed phone number is (507) 859-2179.

What is Bruce Mathiason's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bruce Mathiason was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.