Organization Active NPI

Thomas D Dressel MD PA

  • Specialist
  • Edina, MN
National Provider Identifier
1154524056
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22143 Issued in MN
Legal business name
THOMAS D DRESSEL MD PA
Practice address
6545 France Ave So.
Suite 301
Edina, MN 55435
Phone
(952) 929-1812
Fax
(952) 929-1943
NPI assigned
Jun 7, 2007
Last updated
Apr 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Thomas D. Dressel, MDNPI 1386642767
Title
MD/Owner
Phone
(952) 929-1812

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
Specialist 174400000X 22143 MN Primary

Addresses

Primary practice location

6545 France Ave So.
Suite 301
Edina, MN 55435

Mailing address

7801 E. Bush Lake Road
Suite #320
Bloomington, MN 55439
Phone (952) 831-5773

Other identifiers 1

IdentifierTypeStateIssuer
158372700MedicaidMN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1154524056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E. BUSH LAKE ROAD",
            "address_2": "SUITE #320",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-831-5773",
            "fax_number": "952-831-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE SO.",
            "address_2": "SUITE 301",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-929-1812",
            "fax_number": "952-929-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D DRESSEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "DRESSEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "952-929-1812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "22143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158372700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.