Active NPI
David William Angell, DDS
- General Practice Dentistry
- Columbia Heights, MN
National Provider Identifier
1114013224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8727
- Practice address
- 427 40TH Ave NE
Columbia Heights, MN 55421-3719 - Phone
- (763) 788-2215
- Fax
- (763) 788-1199
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8727 | MN | Primary |
Addresses
Primary practice location
427 40TH Ave NE
Columbia Heights, MN 55421-3719
Mailing address
427 40TH Ave NE
Columbia Heights, MN 55421-3719
Phone (763) 788-2215
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9927 | Other | MN | DORAL UCARE |
| 00552AN | Other | MN | BLUE CROSS BLUE SHIELD |
| 824317 | Other | MN | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8727 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angell Family Dentistry, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Angell Family Dentistry
- General Practice Dentistry
- Columbia Heights, MN
- NPI 1992979207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114013224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 40TH AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554213719",
"telephone_number": "763-788-2215",
"fax_number": "763-788-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 40TH AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554213719",
"telephone_number": "763-788-2215",
"fax_number": "763-788-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELL",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "8727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL UCARE",
"identifier": "9927",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00552AN",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "824317",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.