SOUTHERN HEIGHTS DENTAL GROUP PA
SOUTHERN HEIGHTS DENTAL GROUP PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1932247921, based in Faribault, MN. The organization lists 2 taxonomy classifications, with General Practice Dentistry recorded as primary.
Getting there
The practice address on file is 1575 20TH STREET NORTHWEST SUITE 102, Faribault, MN 55021. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| D7800 | MN | General Practice Dentistry primary |
| D9884 | MN | General Practice Dentistry |
| D10323 | MN | General Practice Dentistry |
| D11586 | MN | General Practice Dentistry |
| D11400 | MN | General Practice Dentistry |
| D11631 | MN | General Practice Dentistry |
| D8742 | MN | General Practice Dentistry |
| D7800 | MN | Dental Clinic/Center |
| D13095 | MN | Dental Clinic/Center |
This provider holds licence D7800 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Oral Surgery - Dentist
- PAC ID
- 4981900271
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Minnesota | O20160314000395 | Dme Supplier - Oral Surgery - Dentist |
| Minnesota | O20170516002061 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Oral Surgery - Dentist. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
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. NUCC Health Care Provider Taxonomy, code 1223G0001X
All registered taxonomy codes
This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry General Practice | D7800 | MN | primary |
| 1223G0001X | General Practice Dentistry General Practice | D9884 | MN | |
| 1223G0001X | General Practice Dentistry General Practice | D10323 | MN | |
| 1223G0001X | General Practice Dentistry General Practice | D11586 | MN | |
| 1223G0001X | General Practice Dentistry General Practice | D11400 | MN | |
| 1223G0001X | General Practice Dentistry General Practice | D11631 | MN | |
| 1223G0001X | General Practice Dentistry General Practice | D8742 | MN | |
| 261QD0000X | Dental Clinic/Center Dental | D7800 | MN | |
| 261QD0000X | Dental Clinic/Center Dental | D13095 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1932247921 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 2, 2007 |
| Last updated | Aug 6, 2020 |
| Status | Active |
| Practice address |
1575 20TH STREET NORTHWEST SUITE 102 Faribault, MN 55021 (507) 334-6433 Fax (507) 334-0044 |
| Other identifiers |
550722700
· Medicaid (MN) 607320400 · Medicaid (MN) 148427300 · Medicaid (MN) 284735300 · Medicaid (MN) 856415900 · Medicaid (MN) 325522100 · Medicaid (MN) 440217100 · Medicaid (MN) 443655000 · Medicaid (MN) 849698600 · Medicaid (MN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 3 | 2 | 2 | 4 | 7 | 9 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 6 | 2 | 4 | 4 | 5 | 9 | 4 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.