Northeast Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7820 Issued in MN

Legal business name

NORTHEAST DENTAL, P.A.

Practice address

4520 Centerville Rd
Saint Paul, MN 55127-3602

Phone

(651) 426-4799

Fax

(651) 426-8106

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Keifer, D.D.S.NPI 1922149566

Title

President

Phone

(651) 426-4799

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert Lee Keifer

  • Dentist
  • Saint Paul, MN
  • NPI 1922149566
  Authorized official Same address or phone

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043435951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CENTERVILLE RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551273602",
            "telephone_number": "651-426-4799",
            "fax_number": "651-426-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CENTERVILLE RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551273602",
            "telephone_number": "651-426-4799",
            "fax_number": "651-426-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEIFER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-426-4799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Point Health &Wellness Center
• North St Paul Chiropractic Office, P.a.
• North Star Counseling & Mediation Services PSC
• North Star Health Alliance, LLC
• North Suburban Optical (Optical Studios)
• Northern Medical Supply Co.
• Northern Stars Home Care LLC
• Northland Dental Partners, PLLC (Metro Dentalcare Maplewood)
• Northland Dental Partners, PLLC (Metro Dentalcare St. Paul Midway)
• Northland Foot & Ankle Specialists (Highland Foot & Ankle Clinic)

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.