Organization Active NPI

Jain Dental Blaine PLLC

  • Dental Clinic/Center
  • Blaine, MN
National Provider Identifier
1194488304
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAIN DENTAL BLAINE PLLC
Practice address
11800 Aberdeen St NE Ste 110
Blaine, MN 55449-4812
Phone
(651) 227-6646
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Joseph TrowbridgeNPI 1023189107
Title
Owner
Phone
(651) 227-6466

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11800 Aberdeen St NE Ste 110
Blaine, MN 55449-4812

Mailing address

11800 Aberdeen St NE Ste 110
Blaine, MN 55449-4812

Other names 1

  • Aberdeen Dental Associates Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1194488304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 ABERDEEN ST NE STE 110",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ABERDEEN ST NE STE 110",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494812",
            "telephone_number": "651-227-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIN DENTAL BLAINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "TROWBRIDGE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-227-6466"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aberdeen Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.