Active NPI
City Center Dental, L.L.C.
- General Practice Dentistry
- Woodbury, MN
National Provider Identifier
1205261195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D11040
- Legal business name
- CITY CENTER DENTAL, L.L.C.
- Practice address
- 8375 City Centre Dr
Woodbury, MN 55125-3324 - Phone
- (651) 739-8573
- Fax
- (651) 739-5517
- NPI assigned
- Sep 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher M Chmiel, D.D.S.
- Title
- Dentist
- Phone
- (651) 739-8573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11040 | MN | Primary |
Addresses
Primary practice location
8375 City Centre Dr
Woodbury, MN 55125-3324
Mailing address
8375 City Centre Dr
Woodbury, MN 55125-3324
Phone (651) 739-8573
Other names 1
- Centre for Distinctive Dentistry
National Provider Directory
National Provider DirectoryLocations
8375 City Centre Dr
Woodbury, MN 55125
Phone (651) 739-8573
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Woodbury, MN
- NPI 1003820564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378771200000",
"number": "1205261195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8375 CITY CENTRE DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253324",
"telephone_number": "651-739-8573",
"fax_number": "651-739-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8375 CITY CENTRE DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253324",
"telephone_number": "651-739-8573",
"fax_number": "651-739-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY CENTER DENTAL, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A",
"authorized_official_last_name": "CHMIEL",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "651-739-8573",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D11040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centre for Distinctive Dentistry",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.