NPIMap

Organization Active NPI

Snoring and Sleep Apnea Dental Treatment Center

  • General Practice Dentistry
  • Edina, MN
National Provider Identifier
1063644888
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9503 Issued in MN
Legal business name
SNORING AND SLEEP APNEA DENTAL TREATMENT CENTER
Practice address
7225 Ohms LN
Suite 180
Edina, MN 55439-2171
Phone
(952) 345-0290
Fax
(952) 920-0105
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Jonathan Arthur Parker, D.D.S.NPI 1396757126
Title
President
Phone
(952) 345-0290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9503 MN Primary

Addresses

Primary practice location

7225 Ohms LN
Suite 180
Edina, MN 55439-2171

Mailing address

7225 Ohms LN
Suite 180
Edina, MN 55439-2171
Phone (952) 345-0290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110503000743 MN DME Supplier - Oral Surgery - Dentist 1557343746 Practice locations: Edina, MN

National Provider Directory

National Provider Directory
Tax ID family
Snoring Sleep Apnea Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7225 Ohms Ln
Ste 180
Edina, MN 55439
Phone (952) 345-0290

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1063644888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OHMS LN",
            "address_2": "SUITE 180",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392171",
            "telephone_number": "952-345-0290",
            "fax_number": "952-920-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OHMS LN",
            "address_2": "SUITE 180",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392171",
            "telephone_number": "952-345-0290",
            "fax_number": "952-920-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNORING AND SLEEP APNEA DENTAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-345-0290",
        "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": "9503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.