West St Paul Family Dentisty PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WEST ST PAUL FAMILY DENTISTY PLLC

Practice address

250 Wentworth Ave E
West St Paul, MN 55118-3507

Phone

(651) 455-1577

NPI assigned

Apr 29, 2013

Last updated

Apr 29, 2013By 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

Phillip Zhan

Title

Partner

Phone

(952) 432-7145

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.

• James Edward Black, DDS

  • Dentist
  • West St Paul, MN
  • NPI 1073547170
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1043654411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WENTWORTH AVE E",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WENTWORTH AVE E",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183507",
            "telephone_number": "651-455-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ST PAUL FAMILY DENTISTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "ZHAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "952-432-7145"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Ann Vosooney, M.D.
• Walker Thompson Hill, LLC (Walker Methodist Westwood Ridge II)
• Walmart Inc. (Walmart Pharmacy 10-3364)
• Cora Walsh, M.D.
• James Craig Warner, MSW, LICSW
• Westec Healthcare &Medical Supplies Inc
• Lindsay Nicole Williams Palaniappan, M.D.
• Anne Williams, PHARMD
• Benjamin Jerome Williams
• Jennifer Williams, PHARM.D.

• Dentist in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.