Organization Active NPI

Sydlewski Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Paul, MN
National Provider Identifier
1013386796
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Sep 23, 2015

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Signature Orthodontics2 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.

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.

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.

Verify at the official NPI Registry.