Bbccs PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BBCCS PLLC

Practice address

2145 Woodlane Dr Ste 104
Woodbury, MN 55125-1920

Phone

(651) 738-8204

NPI assigned

Feb 3, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Brian Eugene Blackwell, DDSNPI 1669712303

Title

Dentist

Phone

(406) 698-0293

Specialties & licenses 1

Addresses

Other names 1

• Creekview Dental Doing business as

Practitioners 2

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

• Brian E. Blackwell, DDS

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1669712303
  NPD Authorized official
• John Michael Haag, DDS

  • Dentist
  • Woodbury, MN
  • NPI 1750485348
  NPD (past)

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1073327995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11077 SWEETWATER PATH",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551295292",
            "telephone_number": "406-698-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 WOODLANE DR STE 104",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251920",
            "telephone_number": "651-738-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBCCS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-698-0293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi Lyn Baumgartner, PA-C
• Katherine Mary Bawar
• Baylon Beinlich DDS LLC
• Nicholas B Baylon, D.D.S.
• Richard James Baylon, D.D.S.
• Be Well Psychological Services, LLC
• Amy Stromwall Beacom, MD
• John Randolf Beahrs, M.D.
• Wendy Leigh Beaton-Lanz
• Matthew Robert Beatty, PA-C

• General Practice Dentistry in Woodbury, MN
• Providers in Woodbury, 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 Feb 3, 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.