Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAYTON LEE PENDERGAST, DT
ActivePAYTON LEE PENDERGAST, DT is a 125J00000X healthcare provider located in MANKATO, Minnesota. NPI 1265324388 is currently active in the NPPES registry. Verify at CMS.
125J00000X · MANKATO, MN
Registration Details
- NPI Number
- 1265324388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2025 (1.0405209926794 yrs)
- Last Updated
- Oct 13, 2025
- License
-
DT189 (MN)
Practice Information
- Address
-
309 HOLLY LNMANKATO, MN, 560015422Browse MN providers · Browse ZIP 56001
- Phone
- 5073882120
- Primary Specialty
-
125J00000X
125J00000X
Other 125J00000X Providers in MANKATO, MN
| Name | Credential | NPI |
|---|---|---|
| ANGELA LOU MONSON | DT, RDH | 1437103272 |
| JACOB LEE DVORAK | DT | 1174968028 |
| EMILY STRAWHACKER | MDT | 1043750995 |
| MISS CALLIE JO HANSON | RDH, MDT | 1043949860 |
| KACI THEURER | — | 1922980879 |
| KELSEY MARBEN | — | 1861374449 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.