PAYTON LEE PENDERGAST DT
NPI 1265324388
Dental Therapist in Mankato, MN
NPI Status: Active since July 15, 2025
- Individual
- Female
- Dental Therapist
About PAYTON PENDERGAST
This page provides the complete NPI Profile along with additional information for Payton Pendergast, a provider established in Mankato, Minnesota with a medical specialization in Dental Therapist. The healthcare provider is registered in the NPI registry with number 1265324388 assigned on July 2025. The practitioner's primary taxonomy code is 125J00000X with license number DT189 (MN). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1265324388
- Provider Name
- PAYTON LEE PENDERGAST DT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 309 HOLLY LN MANKATO, MN 56001
- Location Phone
- (507) 388-2120
- Mailing Address
- 1730 LILAC LN NORTH MANKATO, MN 56003
- Mailing Phone
- (507) 514-8785
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-15-2025
- Last Update Date
- 07-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dental Therapist
- Taxonomy Code
- 125J00000X
- Type
- Dental Providers
- License No.
- DT189
- License State
- MN
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 3 | 2 | 4 | 3 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 6 | 2 | 8 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 6 + 2 + 8 + 3 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1265324388 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396716585 | KATHIE K OBERG OTR/L Individual | Occupational Therapist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-5437 |
| 1902877897 | AMY M ANDERSON Individual | Speech-Language Pathologist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-5437 |
| 1376796623 | JESSICA MARIE JONES M.S., CCC-SLP Individual | Speech-Language Pathologist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-5437 |
| 1649268699 | THOMAS A TRANBY DDS Individual | Dentist (General Practice) | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1316920945 | KIMBERLY J WERNSING MD Individual | Family Medicine | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1912968454 | CREIGHTEN MURPHY DDS Individual | Dentist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1356657274 | DR. BIENVENIDO ZARAGOZA MEDRANO III DMD Individual | Dentist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1174968028 | JACOB LEE DVORAK DT Individual | Dental Therapist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1144361106 | DR. MEAGAN KAYE GOVIG DDS Individual | Dentist (General Practice) | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1043691041 | GRACE CHALGREN DDS Individual | Dentist | 309 HOLLY LN MANKATO, MN 56001 (218) 280-9091 |
| 1518229657 | ELIZABETH COLEMAN NP Individual | Nurse Practitioner (Family) | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1710257860 | OPEN DOOR HEALTH CENTER Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1356611404 | OPEN DOOR HEALTH CENTER Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1972953636 | DR. ANDREW JOSHUA WONG D.D.S. Individual | Dentist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1043750995 | EMILY STRAWHACKER MDT Individual | Dental Therapist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1558899542 | DR. KARA KATHERINE WEBER DDS Individual | Dentist | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1114264116 | MS. ANN MICHELLE DAUFFENBACH THOMPSON MS LMFT Individual | Marriage & Family Therapist | 309 HOLLY LN MANKATO, MN 56001 (507) 344-5517 |
| 1457722878 | HEIDI RIMSTAD MS, LMFT Individual | Marriage & Family Therapist | 309 HOLLY LN MANKATO, MN 56001 (507) 344-5512 |
| 1447794664 | MRS. LIANNE MARIE WEST NP-C Individual | Nurse Practitioner (Family) | 309 HOLLY LN MANKATO, MN 56001 (507) 388-2120 |
| 1639610322 | JENNIFER ANNE MURPHY F.N.P Individual | Nurse Practitioner (Family) | 309 HOLLY LN MANKATO, MN 56001 (507) 386-1835 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265324388, enumerated in the NPI registry as an "individual" on July 15, 2025
The provider is located at 309 Holly Ln Mankato, Mn 56001 and the phone number is (507) 388-2120
The provider's speciality is Dental Therapist with taxonomy code 125J00000X
This NPI record was last updated on July 15, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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