Active NPI
Andrew Patterson, DDS
- Dentist
- Brooklyn Center, MN
National Provider Identifier
1033770821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14270
- Practice address
- 1090 Shingle Creek Xing
Brooklyn Center, MN 55430-2684 - Phone
- (651) 760-5965
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D14270 | MN | Primary |
Addresses
Primary practice location
1090 Shingle Creek Xing
Brooklyn Center, MN 55430-2684
Mailing address
1205 Hawthorne Ave Apt 319
Minneapolis, MN 55403-1212
Phone (612) 296-9008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14270 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Consultants LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Brooklyn Center, MN
- NPI 1689038473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1033770821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 HAWTHORNE AVE APT 319",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554031212",
"telephone_number": "612-296-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 SHINGLE CREEK XING",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302684",
"telephone_number": "651-760-5965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.