Organization Active NPI

Patti Froeber Comprehensive Dentistry PA

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1114981677
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10272 Issued in MN
Legal business name
PATTI FROEBER COMPREHENSIVE DENTISTRY PA
Practice address
312 Central Ave SE
Suite 440
Minneapolis, MN 55414
Phone
(612) 379-2428
Fax
(612) 379-0538
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Dr. Patti Ann Froeber, DDSNPI 1245294792
Title
Dentist Owner
Phone
(612) 379-2428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10272 MN Primary

Addresses

Primary practice location

312 Central Ave SE
Suite 440
Minneapolis, MN 55414

Mailing address

312 Central Ave SE
Suite 440
Minneapolis, MN 55414
Phone (612) 379-2428

National Provider Directory

National Provider Directory

Locations

312 Central Ave SE
Ste 440
Minneapolis, MN 55414
Phone (612) 379-2428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1114981677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CENTRAL AVE SE",
            "address_2": "SUITE 440",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "612-379-2428",
            "fax_number": "612-379-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CENTRAL AVE SE",
            "address_2": "SUITE 440",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "612-379-2428",
            "fax_number": "612-379-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI FROEBER COMPREHENSIVE DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "FROEBER",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "612-379-2428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.