Active NPI
Twin Cities Children'S Anesthesia Dentistry, PLLC
- Anesthesiology Physician
- Maplewood, MN
National Provider Identifier
1073461810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- TWIN CITIES CHILDREN'S ANESTHESIA DENTISTRY, PLLC
- Practice address
- 1997 Sloan PL Ste 30
Maplewood, MN 55117-2051 - Phone
- (651) 383-3333
- Fax
- (651) 383-8888
- NPI assigned
- Mar 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Wheeler
- Title
- Ceo
- Phone
- (301) 494-3000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | |||
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pediatric Anesthesiology Physician | 207LP3000X | |||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
1997 Sloan PL Ste 30
Maplewood, MN 55117-2051
Mailing address
1997 Sloan PL Ste 30
Maplewood, MN 55117-2051
Phone (651) 383-3333
National Provider Directory
National Provider Directory- Tax ID family
- Twin Cities Children'S Anesthesia Dentistry PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Maplewood, MN
- NPI 1376222547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1073461810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 SLOAN PL STE 30",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172051",
"telephone_number": "651-383-3333",
"fax_number": "651-661-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1997 SLOAN PL STE 30",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172051",
"telephone_number": "651-383-3333",
"fax_number": "651-383-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN CITIES CHILDREN'S ANESTHESIA DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-494-3000"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP3000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
- Trusted Loving Home Care LLC
- Kathleen Lorraine Tschida, RN CNP
- Jerry Tu, M.D.
- Ryan P Tully, D.P.T
- Kai Adam Tuominen, MD
- Twin Cities Children'S General Anesthesia Dentistry
- Twin Cities Children'S Surgery Center, LLC
- Twin Cities Oral & Maxillofacial Surgery, PA
- Stephanie Marie Tyree-Dahlberg, LMFT
- Anna Udenberg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.