NPIMap

Organization Active NPI

Children's Dental Care

  • Pediatric Dentistry
  • Savage, MN
National Provider Identifier
1083630586
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5460717 Issued in MN
Legal business name
CHILDREN'S DENTAL CARE
Practice address
7629 Egan Dr
Savage, MN 55378-2208
Phone
(952) 440-5100
Fax
(952) 440-5140
NPI assigned
Jul 15, 2006
Last updated
May 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Dr. George A Hankerson, DDSNPI 1851467195
Title
Dentist
Phone
(952) 997-7100

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
Pediatric Dentistry 1223P0221X 5460717 MN Primary

Addresses

Primary practice location

7629 Egan Dr
Savage, MN 55378-2208

Mailing address

7629 Egan Dr
Savage, MN 55378-2208
Phone (952) 440-5100

Other identifiers 2

IdentifierTypeStateIssuer
004717100OtherMNNIP
858815500OtherMNIPN

National Provider Directory

National Provider Directory
Tax ID family
Children's Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7629 Egan Dr
Savage, MN 55378
Phone (952) 440-5100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1083630586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 EGAN DR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782208",
            "telephone_number": "952-440-5100",
            "fax_number": "952-400-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 EGAN DR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782208",
            "telephone_number": "952-440-5100",
            "fax_number": "952-440-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "HANKERSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "952-997-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "5460717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIP",
            "identifier": "004717100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IPN",
            "identifier": "858815500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.