NPIMap

Organization Active NPI

Camille Zelen DDS PA

  • General Practice Dentistry
  • Duluth, MN
National Provider Identifier
1144600859
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12746 Issued in MN
Legal business name
CAMILLE ZELEN DDS PA
Practice address
1624 Woodland Ave
Duluth, MN 55803-2628
Phone
(218) 464-5222
Fax
(218) 464-5229
NPI assigned
Jun 8, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Camille Joy Zelen, DDSNPI 1104078716
Title
Owner
Phone
(218) 464-5222

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 D12746 MN Primary

Addresses

Primary practice location

1624 Woodland Ave
Duluth, MN 55803-2628

Mailing address

1624 Woodland Ave
Duluth, MN 55803-2628
Phone (218) 464-5222

Other names 1

  • MOUNT ROYAL DENTAL Other name

National Provider Directory

National Provider Directory

Locations

1624 Woodland Ave
Duluth, MN 55803
Phone (218) 464-5222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1144600859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 WOODLAND AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558032628",
            "telephone_number": "218-464-5222",
            "fax_number": "218-464-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 WOODLAND AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558032628",
            "telephone_number": "218-464-5222",
            "fax_number": "218-464-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE ZELEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ZELEN",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-464-5222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT ROYAL DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.