Organization Active NPI

West 7TH Dental

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1104550367
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST 7TH DENTAL
Practice address
106 Douglas St
Saint Paul, MN 55102-2714
Phone
(651) 377-1926
Fax
(651) 377-1925
NPI assigned
Jul 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Jennifer Iburg, DDS
Title
Owner
Phone
(651) 377-1926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

106 Douglas St
Saint Paul, MN 55102-2714

Mailing address

106 Douglas St
Saint Paul, MN 55102-2714
Phone (651) 377-1926

National Provider Directory

National Provider Directory

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": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1104550367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DOUGLAS ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022714",
            "telephone_number": "651-377-1926",
            "fax_number": "651-377-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DOUGLAS ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022714",
            "telephone_number": "651-377-1926",
            "fax_number": "651-377-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 7TH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "IBURG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-377-1926",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.