Chanhassen Family Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHANHASSEN FAMILY DENTISTRY PA

Practice address

8116 Mallory CT
Chanhassen, MN 55317-8586

Phone

(953) 443-3368

Fax

(952) 443-3330

NPI assigned

Jun 22, 2017

Last updated

Jul 21, 2022By 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

Michael Leonard, DDS

Title

Owner

Phone

(952) 443-3368

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053831941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 MALLORY CT",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178586",
            "telephone_number": "953-443-3368",
            "fax_number": "952-443-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 MALLORY CT",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178586",
            "telephone_number": "953-443-3368",
            "fax_number": "952-443-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANHASSEN FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-443-3368",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Carney, MD
• Joy L Chall
• Emily Claire Chandler, LICSW
• Chanhassen Dental
• Chanhassen Endodontics
• Chanhassen Smiles Dentistry, PC (Chanhassen Smiles Dentistry)
• John Jacob Chartier, DDS
• Tala Marie Ciatti, LPC, NCC
• Claire Debenedetto LLC
• Clarkson Optometry Inc (Clarkson Eyecare)

• General Practice Dentistry in Chanhassen, MN
• Providers in Chanhassen, 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 Jul 21, 2022; 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.