Organization Active NPI

Twin Cities Oral & Maxillofacial Surgery P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hastings, MN
National Provider Identifier
1083792279
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TWIN CITIES ORAL & MAXILLOFACIAL SURGERY P.A.
Practice address
925 Highway 55
202
Hastings, MN 55033-3734
Phone
(651) 437-3262
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Shirley Herding
Title
Office Manager
Phone
(651) 437-3262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

925 Highway 55
202
Hastings, MN 55033-3734

Mailing address

925 Highway 55
202
Hastings, MN 55033-3734
Phone (651) 437-3262

National Provider Directory

National Provider Directory

Locations

14635 Pennock Ave
Ste 250
Apple Valley, MN 55124
Phone (952) 432-1514

1655 Beam Ave
Ste 208
Maplewood, MN 55109
Phone (651) 770-7703

1655 Beam Ave
Ste 205
Maplewood, MN 55109
Phone (651) 770-7703

8480 Woodbury Xing
Ste 120
Woodbury, MN 55125
Phone (651) 358-7025

Practitioners & affiliated clinicians

Practitioners 1

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1083792279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HIGHWAY 55",
            "address_2": "202",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333734",
            "telephone_number": "651-437-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGHWAY 55",
            "address_2": "202",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333734",
            "telephone_number": "651-437-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES ORAL & MAXILLOFACIAL SURGERY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "HERDING",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-437-3262"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.