Active NPI
Christie Berkseth-Rojas LLC
- Dental Clinic/Center
- Minneapolis, MN
National Provider Identifier
1033677208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CHRISTIE BERKSETH-ROJAS LLC
- Doing business as
- Rojas Family Dental
- Practice address
- 3455 4TH Ave S
Minneapolis, MN 55408-4527 - Phone
- (612) 315-6955
- NPI assigned
- Mar 6, 2019
- 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
- Dr. Christie Jo Berkseth-Rojas, DDS
- Title
- Owner
- Phone
- (612) 315-6955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3455 4TH Ave S
Minneapolis, MN 55408-4527
Mailing address
3533 4TH Ave S
Minneapolis, MN 55408-4528
Phone (612) 730-5658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962795856 | Medicaid | MN |
Other names 1
- Rojas Family Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551830400000",
"number": "1033677208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 4TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084528",
"telephone_number": "612-730-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 4TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084527",
"telephone_number": "612-315-6955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIE BERKSETH-ROJAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A",
"authorized_official_last_name": "BERKSETH-ROJAS",
"authorized_official_first_name": "CHRISTIE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-315-6955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962795856",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rojas Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.