Alexie Portz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14769 Issued in MN

Practice address

13040 Riverdale Dr NW Ste 600
Coon Rapids, MN 55448-8419

Phone

(763) 323-3042

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • Coon Rapids, MN
  • NPI 1740938166
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1104556950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 27TH AVE SE UNIT 169",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13040 RIVERDALE DR NW STE 600",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554488419",
            "telephone_number": "763-323-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTZ",
        "first_name": "ALEXIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PL Dental SC
• Place of Joy LLC
• Erin Plant, LICSW
• Emily Ann Poe
• Angelina R Ponciano
• Alison Elizabeth Potter, MSW,LICSW
• Christina Sarah Potter, LMFT
• Angela Kay Potts, BA, LADC
• Megan Pouliot, DNP
• Christopher A Powers, MD

• Dentist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.