NPIMap

Organization Active NPI

Dentistry for Children, P.a.

  • Pediatric Dentistry
  • Sartell, MN
National Provider Identifier
1215299508
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D10920 Issued in MN
Legal business name
DENTISTRY FOR CHILDREN, P.A.
Practice address
140 Twin Rivers CT
Sartell, MN 56377-2015
Phone
(320) 257-3380
Fax
(320) 257-3382
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Dennis Carrreras, D.M.D.
Title
Owner/ Dentist
Phone
(320) 257-3380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X D10920 MN Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X D12166 MN

Addresses

Primary practice location

140 Twin Rivers CT
Sartell, MN 56377-2015

Mailing address

140 Twin Rivers CT
Sartell, MN 56377-2015
Phone (320) 257-3380

Other identifiers 2

IdentifierTypeStateIssuer
551219100MedicaidMN
1225195837MedicaidMN

National Provider Directory

National Provider Directory

Locations

140 Twin Rivers Ct
Sartell, MN 56377
Phone (320) 257-3380

Practitioners 5

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1215299508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TWIN RIVERS CT",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772015",
            "telephone_number": "320-257-3380",
            "fax_number": "320-257-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TWIN RIVERS CT",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772015",
            "telephone_number": "320-257-3380",
            "fax_number": "320-257-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "CARRRERAS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "320-257-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D10920",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D12166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551219100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225195837",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.