Organization Active NPI

College Prep Elementary

  • Local Education Agency (LEA)
  • Saint Paul, MN
National Provider Identifier
1215200886
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
4193-07 Issued in MN
Legal business name
COLLEGE PREP ELEMENTARY
Practice address
355 Randolph Ave. Suite 300
Saint Paul, MN 55102
Phone
(651) 605-2360
Fax
(651) 605-2369
NPI assigned
Feb 13, 2012
Last updated
Feb 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Mr. Dao Lor
Title
Executive Director
Phone
(651) 605-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 4193-07 MN Primary

Addresses

Primary practice location

355 Randolph Ave. Suite 300
Saint Paul, MN 55102

Mailing address

355 Randolph Ave. Suite 300
Saint Paul, MN 55102
Phone (651) 605-2360

National Provider Directory

National Provider Directory

Locations

355 Randolph Ave
Ste 300
Saint Paul, MN 55102
Phone (651) 605-2360

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1215200886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 RANDOLPH AVE. SUITE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-605-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RANDOLPH AVE. SUITE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-605-2360",
            "fax_number": "651-605-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PREP ELEMENTARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "LOR",
        "authorized_official_first_name": "DAO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-605-2360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "4193-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.