Active NPI
Ness Plastic Surgery, LLC
- Specialist
- Plymouth, MN
National Provider Identifier
1114225703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 36379
- Legal business name
- NESS PLASTIC SURGERY, LLC
- Practice address
- 2805 Campus Dr
Suite 485
Plymouth, MN 55441-2676 - Phone
- (763) 559-4500
- Fax
- (763) 559-1733
- NPI assigned
- Mar 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Allan Ness, MD
- Title
- Owner
- Phone
- (763) 559-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 36379 | MN | Primary |
Addresses
Primary practice location
2805 Campus Dr
Suite 485
Plymouth, MN 55441-2676
Mailing address
1952 Lucille LN
Saint Cloud, MN 56303-0434
Phone (763) 559-4500
Other names 1
- John A Ness MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418256000000",
"number": "1114225703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 LUCILLE LN",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563030434",
"telephone_number": "763-559-4500",
"fax_number": "763-559-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 CAMPUS DR",
"address_2": "SUITE 485",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412676",
"telephone_number": "763-559-4500",
"fax_number": "763-559-1733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NESS PLASTIC SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-04",
"last_updated": "2014-12-11",
"status": "A",
"authorized_official_last_name": "NESS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-559-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MN",
"license": "36379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "John A Ness MD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.