Provider Type Icon

DALE J MINNERATH MD NPI 1891778155


NPI Information

NPI: 1891778155
Provider Name: DALE J MINNERATH, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 654-3630
Get Directions

Dale J Minnerath, MD is a pediatrics in Saint Cloud, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Dale J Minnerath, MD NPI is 1891778155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 654-3630
Fax: (320) 654-3657

The NPI 1891778155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 11/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics36914MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1620027300OTHERMINNESOTAMEDIAL ASSISTANCE
2COMPOTHERONE HEALTH PLAN GREAT WES
3F68292MEDICARE UPIN
41001398OTHERPREFERRED ONE
5110412OTHERU CARE
6572105OTHERARAZ GROUP AMERICAS PPO
71202203OTHERMEDICA HEALTH PLANS
8HP27103OTHERHEALTH PARTNERS
92114043OTHERFIRST HEALTH PLAN
10COMPOTHERMMSI
11370001382MEDICARE ID-TYPE UNSPECIFIED
1251A37MIOTHERBLUE CROSS BLUE SHIELD
13COMPOTHERCHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.