Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TRACY LEYSEN
NPI 1649196551
Dental Therapist in Windom, MN

Active since June 25, 2026
820 2ND AVE N STE 2, WINDOM, MN 56101(507) 831-3717 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Leysen NPPES

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

TRACY LEYSEN (NPI 1649196551) is an individual dental therapist in Windom, Minnesota, licensed in Minnesota (DT196) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1649196551
Entity TypeIndividual
Primary Taxonomy125J00000X
Provider Legal NameTRACY LEYSEN
Location Address820 2ND AVE N STE 2Windom, MN 56101-1766
Mailing Address1860 Murray AveSlayton, MN 56172-2001
Sole ProprietorYes
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1649196551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License Licensed in MN · DT196
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
820 2ND AVE N STE 2, Windom, MN 56101

Other Providers at the Same Location NPPES

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

Advanced Practice Dental Therapist
820 2ND AVE N STE 2
WINDOM, MN 56101

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 Tracy Leysen's NPI number?

The NPI number for Tracy Leysen is 1649196551. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Tracy Leysen located?

Tracy Leysen practices at 820 2nd Ave N Ste 2, Windom, MN 56101. The listed phone number is (507) 831-3717.

What is Tracy Leysen's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Tracy Leysen was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.