Ridges Surgery Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RIDGES SURGERY CENTER LLC

Practice address

201 E Nicollet Blvd
Burnsville, MN 55337-5714

Phone

(952) 892-2762

NPI assigned

Jan 23, 2014

Last updated

Jan 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael K Miller

Title

Director

Phone

(952) 892-2762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Ridges Surgery Center LLCCCN 24C0001083

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1215350509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 FAIRVIEW DRIVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-892-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E NICOLLET BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375714",
            "telephone_number": "952-892-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGES SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-892-2762"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Richardson
• Michele Richardson, MD
• Ridge Point Dental Clinic, P.a. (Sheldon T. Peterson DDS)
• Ridges Dental
• Ridges Family Dental PLLC
• Daniel Enrique Rieramedina
• Adam Riffe, LMFT, LADC
• Natalie Elizabeth Rigelman-Hedberg, M.D.
• Right at Home Inc
• John Rigsby, LPCC

• Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.