NPIMap

Organization Active NPI

Minneapolis Dental

  • Dentist
  • Minneapolis, MN
National Provider Identifier
1033351457
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10117 Issued in MN
Legal business name
MINNEAPOLIS DENTAL
Practice address
150 S 5TH St Ste 1475
Minneapolis, MN 55402-4212
Phone
(612) 332-1255
Fax
(612) 388-3721
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Lorrie K Hodd, D.D.S.NPI 1639395254
Title
Dentist
Phone
(612) 332-1255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7958 MN
Dentist 122300000X 10117 MN Primary

Addresses

Primary practice location

150 S 5TH St Ste 1475
Minneapolis, MN 55402-4212

Mailing address

150 S 5TH St Ste 1475
Minneapolis, MN 55402-4212
Phone (612) 332-1255

Other identifiers 1

IdentifierTypeStateIssuer
411700790OtherMNDELTA

National Provider Directory

National Provider Directory

Locations

150 S 5th St
Ste 1475
Minneapolis, MN 55402
Phone (612) 332-1255

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1033351457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 1475",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024212",
            "telephone_number": "612-332-1255",
            "fax_number": "612-388-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 1475",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024212",
            "telephone_number": "612-332-1255",
            "fax_number": "612-388-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "HODD",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "612-332-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D7958",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "411700790",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.