Open Door Health Center - Mobile Dental – Federally Qualified Health Center (FQHC), NPI 1356611404

Open Door Health Center - Mobile Dental is a healthcare provider. based in Mankato, Minnesota. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Open Door Health Center - Mobile Dental is 1356611404

Main info

Organization
Name
Open Door Health Center - Mobile Dental
NPI
1356611404
Phone
(507) 388-2120
Address
309 HOLLY LN
Authorized Official
MR. DOUGLAS L JAEGER JR. CEO
Enumeration Date
6 January 2012
Last Update Date
4 April 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Open Door Health Center - Mobile Dental

  • 309 HOLLY LN

    MANKATO, MN 560015422

    Phone: (507) 388-2120

    Fax: (507) 388-3924

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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Reviews

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Frequently asked questions

What is the registry number for Open Door Health Center - Mobile Dental?
The registry entry for Open Door Health Center - Mobile Dental shows NPI 1356611404.
Should I treat Open Door Health Center - Mobile Dental as an active provider?
Patients and plans typically see Open Door Health Center - Mobile Dental as active in the national extract.
What type of care does Open Door Health Center - Mobile Dental provide?
Open Door Health Center - Mobile Dental's profile centers on Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Which community is linked to Open Door Health Center - Mobile Dental?
Open Door Health Center - Mobile Dental shows a connection to Mankato, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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