Impact Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

IMPACT ORTHODONTICS, PLLC

Practice address

4256 Nicollet Ave
Minneapolis, MN 55409

Phone

(507) 272-9665

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Hemann, DDS, MSNPI 1588191993

Title

Owner

Phone

(507) 272-9665

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Cory Hemann, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anoka, MN
  • NPI 1588191993
  NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1194544189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 26TH AVE SE UNIT 512",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144329",
            "telephone_number": "507-272-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55409",
            "telephone_number": "507-272-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "HEMANN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-272-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "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": []
}

• Mary Elizabeth Imdieke
• Renee Monique Imes
• Philip David Imholte, PSYD
• Kailey Immen, PA-C
• Katie Immerfall-Strasburg, LPCC
• Imran Healthcare Services, LLC
• In Full Bloom Counseling, LLC
• In-Home Care LLC
• Inabah Counseling LLC
• Ajit Indavarapu, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.