MINNESOTA VETERANS HOMES DENTAL CLINIC
NPI 1568168987
Dentist - General Practice in Luverne, MN

Q: What is State Of Minnesota Minnesota Management And Budget's specialty?

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

Active since February 07, 2023

1300 NORTH KNISS AVE., LUVERNE, MN 56156(507) 283-6200(612) 548-5964 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2024, Feb 17, 2023, Feb 7, 2023 (3 updates tracked since 2023).

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About Minnesota Veterans Homes Dental Clinic NPPES

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

MINNESOTA VETERANS HOMES DENTAL CLINIC (NPI 1568168987) is a healthcare organization registered as a general practice in Luverne, Minnesota and active in the NPI registry since February 2023. The organization lists Simone Renee Hogan, Mdva Chief Operations Director, as its authorized official.

NPPES Registry Identity

NPI1568168987

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSTATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET

Location Address1300 NORTH KNISS AVE.Luverne, MN 56156-1006

Mailing Address5101 Minnehaha Ave. SMinneapolis, MN 55417-1647

Phone(507) 283-6200

Fax(612) 548-5964

Organization SubpartYesParent: State Of Minnesota Minnesota Manage

Authorized OfficialSimone Renee HoganMdva Chief Operations Director · (612) 505-4110

Enumeration DateFebruary 7, 2023

Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1568168987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

1300 NORTH KNISS AVE., Luverne, MN 56156

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Other Names 1

Doing Business AsMinnesota Veterans Homes Dental Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0941370

Minnesota Veterans Home - Fergus Falls · Fergus Falls, MN

Expired · Aug 12, 2026

CLIA Number24D0941370

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorSean C. Ercan-Fang

Laboratory Phone(507) 283-6200

Laboratory LocationMinnesota Veterans Home - Fergus Falls1821 North Park St, Fergus Falls, MN 56537

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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 State Of Minnesota Minnesota Management And Budget's NPI number?

The NPI number for State Of Minnesota Minnesota Management And Budget is 1568168987. It was assigned to this organization in the NPPES registry on February 7, 2023. The provider is doing business as Minnesota Veterans Homes Dental Clinic.

Where is State Of Minnesota Minnesota Management And Budget located?

State Of Minnesota Minnesota Management And Budget is located at 1300 North Kniss Ave., Luverne, MN 56156. The listed phone number is (507) 283-6200.

What is State Of Minnesota Minnesota Management And Budget'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 State Of Minnesota Minnesota Management And Budget was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.