Organization Active NPI

Ridgeview Clinics

  • Family Medicine Physician
  • Chanhassen, MN
National Provider Identifier
1205988714
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25217 Issued in MN
Legal business name
RIDGEVIEW CLINICS
Practice address
7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone
(952) 934-0570
Fax
(952) 906-7837
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Ms. Kristi L Besse
Title
Operations MGR
Phone
(952) 495-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25217 MN Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 40131 MN

Addresses

Primary practice location

7907 Powers Blvd
Chanhassen, MN 55317-9502

Mailing address

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Other identifiers 1

IdentifierTypeStateIssuer
073513200MedicaidMN

Other names 1

  • Ridgeview Chanhassen Clinic/Western Orthopaedics & Sports Medicine Con Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1205988714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 POWERS BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179502",
            "telephone_number": "952-934-0570",
            "fax_number": "952-906-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 POWERS BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179502",
            "telephone_number": "952-934-0570",
            "fax_number": "952-906-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "BESSE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "952-495-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "25217",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "40131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073513200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Chanhassen Clinic/Western Orthopaedics & Sports Medicine Con",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.