Associated Dentists Sholom Home

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11202 Issued in MN

Legal business name

ASSOCIATED DENTISTS SHOLOM HOME

Practice address

1371 7TH St W
Suite B
Saint Paul, MN 55102-4205

Phone

(651) 488-5557

Fax

(651) 488-0014

NPI assigned

Dec 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angie Loft

Title

Site Manager

Phone

(651) 488-5557

Specialties & licenses 2

Addresses

Tax ID family

Associated Dentists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Associated Dentists

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1184770851
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1013153352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 7TH ST W",
            "address_2": "SUITE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024205",
            "telephone_number": "651-488-5557",
            "fax_number": "651-488-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 7TH ST W",
            "address_2": "SUITE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024205",
            "telephone_number": "651-488-5557",
            "fax_number": "651-488-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTISTS SHOLOM HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "LOFT",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "SITE MANAGER",
        "authorized_official_telephone_number": "651-488-5557"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "11152",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assistance in Recovery
• Assistedco
• Assistiva Services LLC
• Associated Anesthesiologists, P.a.
• Associated Dentists
• Associated Hearing Instruments of St Paul Inc
• Associated Speech and Language Specialists LLC
• Associates in Chiropractic P.a.
• Associates in Newborn Medicine, P.a.
• Associates in Newborn Medicine,P.a.

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.