Organization Active NPI

Prinvev Dental P.a

  • Dentist
  • New Hope, MN
National Provider Identifier
1053481010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRINVEV DENTAL P.A
Practice address
4227 Winnetka Ave N
New Hope, MN 55428-4924
Phone
(763) 536-1100
Fax
(763) 536-1212
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carla Princev
Title
Office Manager
Phone
(763) 536-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4227 Winnetka Ave N
New Hope, MN 55428-4924

Mailing address

4227 Winnetka Ave N
New Hope, MN 55428
Phone (763) 536-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053481010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 WINNETKA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "55428",
            "telephone_number": "763-536-1100",
            "fax_number": "763-536-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 WINNETKA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284924",
            "telephone_number": "763-536-1100",
            "fax_number": "763-536-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINVEV DENTAL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINCEV",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-536-1100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • 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.