Organization Active NPI

Skinspeaks: Advancements in Dermatology and Spa M.D., P.a.

  • Dermatology Physician
  • Edina, MN
National Provider Identifier
1043249865
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKINSPEAKS: ADVANCEMENTS IN DERMATOLOGY AND SPA M.D., P.A.
Practice address
7373 France Ave S Ste 110
Edina, MN 55435
Phone
(763) 231-8700
Fax
(763) 231-8711
NPI assigned
Jul 2, 2006
Last updated
May 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Paula Swenson
Title
Operations Manager
Phone
(763) 231-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7373 France Ave S Ste 110
Edina, MN 55435

Mailing address

7373 France Ave S Ste 110
Edina, MN 55435-4538
Phone (763) 231-8700

Other identifiers 2

IdentifierTypeStateIssuer
116815OtherMNUCARE
34204CAOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

625 E Nicollet Blvd
Ste 203
Burnsville, MN 55337
Phone (952) 435-2525

10705 Town Square Dr NE
Ste 210
Minneapolis, MN 55449
Phone (763) 231-8700

4725 36th Ave N
Minneapolis, MN 55422
Phone (763) 231-8700

3366 Oakdale Ave N
#308
Robbinsdale, MN 55422
Phone (763) 588-0766

779 Bielenberg Dr
Woodbury, MN 55125
Phone (763) 231-8700

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1043249865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 110",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354538",
            "telephone_number": "763-231-8700",
            "fax_number": "763-231-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 110",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "763-231-8700",
            "fax_number": "763-231-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINSPEAKS: ADVANCEMENTS IN DERMATOLOGY AND SPA M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "763-231-8710"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "116815",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34204CA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.