NPIMap

Organization Active NPI

Northview Dental, P.a.

Doing business as Northview Dental

  • General Practice Dentistry
  • Shoreview, MN
National Provider Identifier
1225031156
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTHVIEW DENTAL, P.A.
Doing business as
Northview Dental
Practice address
4700 Lexington Ave N
Shoreview, MN 55126-5844
Phone
(651) 483-1858
Fax
(651) 766-8400
NPI assigned
May 24, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jeffrey B. Norsted, DDSNPI 1376605865
Title
President
Phone
(651) 483-1858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MN Primary

Addresses

Primary practice location

4700 Lexington Ave N
Shoreview, MN 55126-5844

Mailing address

4700 Lexington Ave N
Shoreview, MN 55126-5844
Phone (651) 483-1858

Other names 1

  • Northview Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4700 Lexington Ave N
Shoreview, MN 55126
Phone (651) 283-7379

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225031156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVE N",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265844",
            "telephone_number": "651-483-1858",
            "fax_number": "651-766-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVE N",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265844",
            "telephone_number": "651-483-1858",
            "fax_number": "651-766-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVIEW DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NORSTED",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-483-1858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.