Organization Active NPI

Cedar Riverside People'S Center

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
National Provider Identifier
1124472402
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CEDAR RIVERSIDE PEOPLE'S CENTER
Practice address
425 20TH Ave S
Minneapolis, MN 55454-4400
Phone
(612) 332-4973
Fax
(612) 238-3534
NPI assigned
Apr 22, 2016
Organization subpart
Yes
Parent organization
CEDAR RIVERSIDE PEOPLE'S CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Ann Christine Rogers
Title
Chief Executive Officer
Phone
(612) 325-1856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MN Primary

Addresses

Primary practice location

425 20TH Ave S
Minneapolis, MN 55454-4400

Mailing address

425 20TH Ave S
Minneapolis, MN 55454-4400
Phone (612) 332-4973

Other names 2

  • People's Center Clinics & Services Doing business as
  • Cedar Riverside Dental Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Cedar Riverside Peoples2 organizations share this tax ID, including this one
Part of
Cedar Riverside Peoples

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 20th Ave S
Minneapolis, MN 55454
Phone (612) 332-4973

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1124472402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 20TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554544400",
            "telephone_number": "612-332-4973",
            "fax_number": "612-238-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 20TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554544400",
            "telephone_number": "612-332-4973",
            "fax_number": "612-238-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIVERSIDE PEOPLE'S CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR RIVERSIDE PEOPLE'S CENTER",
        "enumeration_date": "2016-04-22",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "612-325-1856"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "People's Center Clinics & Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Riverside Dental Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cedar Riverside Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2026; 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.