Dakota Child and Family Clinic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1854 Issued in MN

Legal business name

DAKOTA CHILD AND FAMILY CLINIC PA

Practice address

2530 Horizon Dr
Burnsville, MN 55337-3091

Phone

(651) 209-8640

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Nikki Rose

Title

Medical Billing

Phone

(651) 209-8640

Specialties & licenses 1

Addresses

Other names 1

• Dakota Child and Family Clinic PA Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24934/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1124377296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 HORIZON DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373091",
            "telephone_number": "651-209-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 HORIZON DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373091",
            "telephone_number": "651-209-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA CHILD AND FAMILY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "MEDICAL BILLING",
        "authorized_official_telephone_number": "651-209-8640"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Child and Family Clinic PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanna Marie Dahl, PTA
• Rory James Dahn, LMT
• Madelyn Dailey
• Daisy Care LLC
• Sundus Dakoi
• Dakota Communities Inc
• Richard Daly, FNP-C
• Jack Ramsdell Danforth
• Omot Dang
• Pei Daniel

• Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.