NPIMap

Organization Active NPI

Saint Anthony Park Dental Care PLLC

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1073970273
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13398 Issued in MN
Legal business name
SAINT ANTHONY PARK DENTAL CARE PLLC
Practice address
2278 Como Ave
Saint Paul, MN 55108-1794
Phone
(651) 644-3685
Fax
(651) 645-8097
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Nathaniel Cogswell, DDSNPI 1225415896
Title
Treasurer/Secretary
Phone
(651) 644-3685

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D13398 MN Primary

Addresses

Primary practice location

2278 Como Ave
Saint Paul, MN 55108-1794

Mailing address

2278 Como Ave
Saint Paul, MN 55108-1794
Phone (651) 644-3685

National Provider Directory

National Provider Directory

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": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1073970273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081794",
            "telephone_number": "651-644-3685",
            "fax_number": "651-645-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081794",
            "telephone_number": "651-644-3685",
            "fax_number": "651-645-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANTHONY PARK DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "COGSWELL",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "TREASURER/SECRETARY",
        "authorized_official_telephone_number": "651-644-3685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.