Chanhassen Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHANHASSEN ENDODONTICS

Practice address

7770 Dell Rd Ste 110
Chanhassen, MN 55317-9316

Phone

(952) 294-3575

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Madeleinne Fern, DDS, MSNPI 1124896816

Title

Owner

Phone

(701) 898-8640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Madeleinne Fern

  • General Practice Dentistry
  • Chanhassen, MN
  • NPI 1124896816
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1083458186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 DELL RD STE 110",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179316",
            "telephone_number": "952-294-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 DELL RD STE 110",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179316",
            "telephone_number": "952-294-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANHASSEN ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "FERN",
        "authorized_official_first_name": "MADELEINNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-898-8640",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Anne Camilli, LICSW
• Steven J Carney, MD
• Joy L Chall
• Emily Claire Chandler, LICSW
• Chanhassen Dental
• Chanhassen Family Dentistry PA
• Chanhassen Smiles Dentistry, PC
• John Jacob Chartier, DDS
• Tala Marie Ciatti, LPC, NCC
• Claire Debenedetto LLC

• Dental Clinic/Center in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.