NPIMap

Organization Active NPI

Orthodontic Specialists of Minnesota, PLLC

Doing business as The Dental Specialists - Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roseville, MN
National Provider Identifier
1053685586
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC
Doing business as
The Dental Specialists - Orthodontics
Practice address
2200 County Road C W
Suite 2210
Roseville, MN 55113
Phone
(651) 633-0500
Fax
(651) 636-6894
NPI assigned
Mar 1, 2012
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Rebekah Ditter
Title
Senior Manager of Revenue Cycle
Phone
(651) 746-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

2200 County Road C W
Suite 2210
Roseville, MN 55113

Mailing address

2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Phone (651) 633-0500

Other names 1

  • The Dental Specialists - Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Specialists of Minnesota PLLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1053685586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COUNTY ROAD C W STE 2210",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132551",
            "telephone_number": "651-633-0500",
            "fax_number": "651-309-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COUNTY ROAD C W",
            "address_2": "SUITE 2210",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-633-0500",
            "fax_number": "651-636-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "DITTER",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "SENIOR MANAGER OF REVENUE CYCLE",
        "authorized_official_telephone_number": "651-746-2884"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Specialists - Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.