City of Lakes Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8428 Issued in MN

Legal business name

CITY OF LAKES DENTAL, P.A.

Practice address

5524 Nicollet Ave
Minneapolis, MN 55419-1930

Phone

(612) 823-1816

Fax

(612) 823-5955

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Herbert William Schulte, D.D.S.

Title

President

Phone

(612) 823-1816

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124192208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191930",
            "telephone_number": "612-823-1816",
            "fax_number": "612-823-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191930",
            "telephone_number": "612-823-1816",
            "fax_number": "612-823-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAKES DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-823-1816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "40 06726",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citiwide Home Health Inc
• City Chiropractic, PC
• City Clinic Inc
• City Lakes Chiropractic PA
• City of Lakes Care Center
• City of Minneapolis
• City Tour Transportatio LLC
• Citycare Wellness LLC
• Cityscape Dental PA
• Citywide Care LLC

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.