True North Community Dental Clinic, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRUE NORTH COMMUNITY DENTAL CLINIC, LLC

Doing business as

True North Community Dental Clinic

Practice address

415 East First Avenue
Shakopee, MN 55379

Phone

(952) 403-5149

NPI assigned

Aug 5, 2020

Last updated

Aug 5, 2020By 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

Emily Fischer, A.D.TNPI 1043750995

Title

Clinic Director

Phone

(952) 403-5149

Specialties & licenses 1

Addresses

Other names 1

• True North Community Dental Clinic Doing business as

Locations

Practitioners 2

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.

• Emily Fischer, ADT

  • Advanced Practice Dental Therapist
  • Shakopee, MN
  • NPI 1043750995
  NPD (past) Authorized official
• William W Heitzman

  • Dental Therapist
  • Shakopee, MN
  • NPI 1134564552
  NPD

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1073123030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EAST FIRST AVENUE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "55379",
            "telephone_number": "952-403-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EAST FIRST AVENUE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "55379",
            "telephone_number": "952-403-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH COMMUNITY DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "952-403-5149",
        "authorized_official_credential": "A.D.T"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True North Community Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryant David Torkelson
• Susan Torkelson
• Total Care Social Services
• TPC Enterprises (RiverRock Dental)
• Lluvia Carissa Trevino
• Jennifer Tschimperle, H.I.S.
• Twin Cities Health (Twin Cities Health Services)
• Twin Cities Therapy Services
• Twin Cities Therapy Services
• Sarah Underdahl, LICSW

• General Practice Dentistry in Shakopee, MN
• Providers in Shakopee, 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 Aug 5, 2020; 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.