Organization Active NPI

Colby Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Minneapolis, MN
National Provider Identifier
1164040457
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
COLBY ORTHODONTICS LLC
Practice address
9TH St. and Nicollet Ave. Suite 531
Minneapolis, MN 55402
Phone
(612) 332-4344
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Stephen Colby
Title
Owner
Phone
(952) 831-1324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

9TH St. and Nicollet Ave. Suite 531
Minneapolis, MN 55402

Mailing address

7373 France Ave S Ste 400
Edina, MN 55435-4549
Phone (952) 831-1324

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1164040457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354549",
            "telephone_number": "952-831-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9TH ST. AND NICOLLET AVE. SUITE 531",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55402",
            "telephone_number": "612-332-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-831-1324"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 13, 2020; 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.