NPIMap

Organization Active NPI

Lowry Hill Dental Clinic Patrick J Prochaska DDS Et.Al Partners

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1093828261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9045 Issued in MN
Legal business name
LOWRY HILL DENTAL CLINIC PATRICK J PROCHASKA DDS ET.AL PARTNERS
Practice address
1516 W Lake St
Suite 302
Minneapolis, MN 55408-2554
Phone
(612) 822-1484
Fax
(612) 822-9458
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patick James Prochaska, D.D.S
Title
Partner
Phone
(612) 823-7942

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D9045 MN Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D9138 MN

Addresses

Primary practice location

1516 W Lake St
Suite 302
Minneapolis, MN 55408-2554

Mailing address

1516 W Lake St
Suite 302
Minneapolis, MN 55408-2554
Phone (612) 822-1484

Other names 1

  • Lowry Hill Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1516 W Lake St
Ste 302
Minneapolis, MN 55408
Phone (612) 822-1484

Practitioners & affiliated clinicians

Practitioners 2

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093828261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W LAKE ST",
            "address_2": "SUITE 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082554",
            "telephone_number": "612-822-1484",
            "fax_number": "612-822-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W LAKE ST",
            "address_2": "SUITE 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082554",
            "telephone_number": "612-822-1484",
            "fax_number": "612-822-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWRY HILL DENTAL CLINIC PATRICK J PROCHASKA DDS ET.AL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROCHASKA",
        "authorized_official_first_name": "PATICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "612-823-7942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9045",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowry Hill Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.