Organization Active NPI

Tranquility Dental, P.a.

  • General Practice Dentistry
  • St Louis Park, MN
National Provider Identifier
1114207362
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12247 Issued in MN
Legal business name
TRANQUILITY DENTAL, P.A.
Practice address
7415 Wayzata Blvd
Ste 201
St Louis Park, MN 55426-1607
Phone
(952) 334-3304
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Melissa A Naidyhorski, D.D.S.
Title
President
Phone
(952) 334-3304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D12247 MN Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D9460 MN

Addresses

Primary practice location

7415 Wayzata Blvd
Ste 201
St Louis Park, MN 55426-1607

Mailing address

7415 Wayzata Blvd
Ste 201
St Louis Park, MN 55426-1607
Phone (952) 334-3304

Other names 1

  • Tranquility Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7415 Wayzata Blvd
Ste 201
St Louis Park, MN 55426
Phone (952) 334-3304

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1114207362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 WAYZATA BLVD",
            "address_2": "STE 201",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261607",
            "telephone_number": "952-334-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 WAYZATA BLVD",
            "address_2": "STE 201",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261607",
            "telephone_number": "952-334-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "NAIDYHORSKI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-334-3304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12247",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquility Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.