NPIMap

Organization Active NPI

Relaxation Dentistry

  • General Practice Dentistry
  • Chaska, MN
National Provider Identifier
1104156405
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11744 Issued in MN
Legal business name
RELAXATION DENTISTRY
Practice address
1475 White Oak Dr
200
Chaska, MN 55318-4571
Phone
(952) 351-8282
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Jenny Rebecca Ruoho, DDSNPI 1215099643
Title
DDS/President
Phone
(952) 351-8282

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D11744 MN Primary

Addresses

Primary practice location

1475 White Oak Dr
200
Chaska, MN 55318-4571

Mailing address

1475 White Oak Dr
200
Chaska, MN 55318-4571
Phone (952) 351-8282

National Provider Directory

National Provider Directory

Locations

1475 White Oak Dr
Ste 200
Chaska, MN 55318
Phone (952) 351-8282

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1104156405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 WHITE OAK DR",
            "address_2": "200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184571",
            "telephone_number": "952-351-8282",
            "fax_number": "952-466-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 WHITE OAK DR",
            "address_2": "200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184571",
            "telephone_number": "952-351-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAXATION DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "RUOHO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "DDS/PRESIDENT",
        "authorized_official_telephone_number": "952-351-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.