Organization Active NPI

Parkside Dental, P.C.

  • General Practice Dentistry
  • New Brighton, MN
National Provider Identifier
1063887719
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARKSIDE DENTAL, P.C.
Practice address
2677 Innsbruck Dr Ste B
New Brighton, MN 55112-9300
Phone
(612) 332-0559
NPI assigned
Dec 7, 2015
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Dr. Anna Weber, D.M.D.NPI 1033445838
Title
President
Phone
(612) 332-0559

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

2677 Innsbruck Dr Ste B
New Brighton, MN 55112-9300

Mailing address

2677 Innsbruck Dr Ste B
New Brighton, MN 55112-9300
Phone (612) 332-0559

National Provider Directory

National Provider Directory

Locations

825 S 8th St
Ste 1216
Minneapolis, MN 55404
Phone (612) 332-0559

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1063887719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 INNSBRUCK DR STE B",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129300",
            "telephone_number": "612-332-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 INNSBRUCK DR STE B",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129300",
            "telephone_number": "612-332-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-332-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.