Organization Active NPI

Scott a. Armstrong, D.D.S.

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1083849558
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10006 Issued in MN
Legal business name
SCOTT A. ARMSTRONG, D.D.S.
Practice address
4001 Stinson Blvd
Suite 420
Minneapolis, MN 55421-3488
Phone
(612) 788-5151
Fax
(612) 788-9698
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Rosemary Wallace
Title
Office Manager
Phone
(612) 788-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10006 MN Primary

Addresses

Primary practice location

4001 Stinson Blvd
Suite 420
Minneapolis, MN 55421-3488

Mailing address

4001 Stinson Blvd
Suite 420
Minneapolis, MN 55421-3488
Phone (612) 788-5151

Other identifiers 1

IdentifierTypeStateIssuer
647820400MedicaidMN

National Provider Directory

National Provider Directory

Locations

4001 Stinson Blvd NE
Ste 420
Minneapolis, MN 55421
Phone (612) 788-5151

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1083849558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD",
            "address_2": "SUITE 420",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213488",
            "telephone_number": "612-788-5151",
            "fax_number": "612-788-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD",
            "address_2": "SUITE 420",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213488",
            "telephone_number": "612-788-5151",
            "fax_number": "612-788-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. ARMSTRONG, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-788-5151"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647820400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.