Madeleinne Fern

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D15023 Issued in MN

Practice address

7770 Dell Road, Suite #110
Chanhassen, MN 55317-2809

Phone

(952) 294-3575

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chanhassen Endodontics

  • Dental Clinic/Center
  • Chanhassen, MN
  • NPI 1083458186
  NPD Authorized official

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1124896816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 DELL ROAD, SUITE #110",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553172809",
            "telephone_number": "952-294-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 DELL ROAD, SUITE #110",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553172809",
            "telephone_number": "952-294-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERN",
        "first_name": "MADELEINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D15023",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Marie Fairbanks, PHD
• Christine Famiano
• Family Focus Chiropractic, LLC
• Lynne K Farrell, PT, MED, CEEAA
• Molly Catherine Favour, MD
• Kelly Fischer, OTR/L, COMT, CLT
• Joanna Shaw Flamm
• Foot and Ankle Physicians West P.a.
• Forever Smiles Partners PLLC
• Gary Joseph Freitas, PH.D., LP

• General Practice Dentistry in Chanhassen, MN
• Providers in Chanhassen, 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 14, 2024; 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.