Organization Active NPI

Uptown Dental Associates,PA

  • Dental Clinic/Center
  • Albert Lea, MN
National Provider Identifier
1114208014
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D11601 Issued in MN
Legal business name
UPTOWN DENTAL ASSOCIATES,PA
Practice address
141 E William St
Albert Lea, MN 56007-2530
Phone
(507) 377-5033
Fax
(507) 369-0090
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Dr. Shannon Marie Held, DDS
Title
Dentist
Phone
(507) 377-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D11601 MN Primary

Addresses

Primary practice location

141 E William St
Albert Lea, MN 56007-2530

Mailing address

141 E William St
P.O. Box 36
Albert Lea, MN 56007-2530
Phone (507) 377-5033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1114208014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E WILLIAM ST",
            "address_2": "P.O. BOX 36",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072530",
            "telephone_number": "507-377-5033",
            "fax_number": "507-369-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E WILLIAM ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072530",
            "telephone_number": "507-377-5033",
            "fax_number": "507-369-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DENTAL ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "HELD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "507-377-5033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.