Active NPI
Sydlewski Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Saint Paul, MN
National Provider Identifier
1013386796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SYDLEWSKI ORTHODONTICS
- Practice address
- 1575 7TH St W Ste 102
Saint Paul, MN 55102-4252 - Phone
- (651) 426-9986
- NPI assigned
- Sep 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Reid Raasch
- Title
- Financial Coodinator
- Phone
- (651) 426-9986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
1575 7TH St W Ste 102
Saint Paul, MN 55102-4252
Mailing address
2126 5TH St
White Bear Lake, MN 55110-2717
Phone (651) 426-9986
Other names 1
- Signature Orthodontics, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Signature Orthodontics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- White Bear Lake, MN
- NPI 1326206350
Locations
1575 7th St W
Ste 102
Saint Paul, MN 55102
Phone (651) 426-9986
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- White Bear Lake, MN
- NPI 1174677710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442966400000",
"number": "1013386796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 5TH ST",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551102717",
"telephone_number": "651-426-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 7TH ST W STE 102",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551024252",
"telephone_number": "651-426-9986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYDLEWSKI ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A",
"authorized_official_last_name": "RAASCH",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "REID",
"authorized_official_title_or_position": "FINANCIAL COODINATOR",
"authorized_official_telephone_number": "651-426-9986"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature Orthodontics, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.