Richfield Pediatric Dentistry, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D12818 Issued in MN

Legal business name

RICHFIELD PEDIATRIC DENTISTRY, P.A.

Doing business as

Tailwind Pediatric Dentistry

Practice address

6945 Penn Ave S
Suite 102
Richfield, MN 55423-2081

Phone

(612) 866-4041

NPI assigned

Feb 21, 2013

Organization subpart

Yes

Parent organization

TAYLOR J. STEPHENS, D.D.S, P.AAs reported in NPPES

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

Authorized official

Name

Taylor J Stephens, D.D.S.

Title

President/Owner

Phone

(952) 475-3135

Specialties & licenses 1

Addresses

Other names 1

• Tailwind Pediatric Dentistry Doing business as

Part of

Taylor J Stephens DDS PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Taylor J. Stephens, D.D.S, P.a.

  • Dental Clinic/Center
  • Wayzata, MN
  • NPI 1962742650
  NPPES parent name

Practitioners 1

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

• Joann Christine Boraas, DDS, MS

  • Pediatric Dentistry
  • Richfield, MN
  • NPI 1659585891
  NPD (past)

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1063752483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 113",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-475-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 PENN AVE S",
            "address_2": "SUITE 102",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232081",
            "telephone_number": "612-866-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHFIELD PEDIATRIC DENTISTRY, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLOR J. STEPHENS, D.D.S, P.A",
        "enumeration_date": "2013-02-21",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-475-3135",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tailwind Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richfield Churches United
• Richfield Dentistry PC
• Richfield Medical Group LTD
• Richfield Opco, LLC
• Richfield Orthodontic Associates
• Kristin Marie Ries, OTD, OTR/L
• Brian Rinkoski, MSW, LICSW
• Elizabeth Kathleen Ritter, LPCC
• RM Senior Living Richfield LLC
• Robin Drug Corp

• Dental Clinic/Center in Richfield, MN
• Providers in Richfield, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.