Organization Active NPI

Twin Cities Endodontic Specialists, P.a.

  • Endodontics
  • Eagan, MN
National Provider Identifier
1225095052
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
TWIN CITIES ENDODONTIC SPECIALISTS, P.A.
Practice address
4640 Nicols Rd
Suite 202
Eagan, MN 55122-2306
Phone
(651) 994-1344
Fax
(651) 994-1343
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ms. Deb Welters, R.D.A.
Title
Practice Manager
Phone
(651) 994-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X MN Primary

Addresses

Primary practice location

4640 Nicols Rd
Suite 202
Eagan, MN 55122-2306

Mailing address

4640 Nicols Rd
Suite 202
Eagan, MN 55122-2306
Phone (651) 994-1344

National Provider Directory

National Provider Directory
Tax ID family
Twin Cities Endodontic Specialists PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4640 Nicols Rd
Ste 202
Eagan, MN 55122
Phone (651) 994-1344

Practitioners & affiliated clinicians

Practitioners 1

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1225095052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 NICOLS RD",
            "address_2": "SUITE 202",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222306",
            "telephone_number": "651-994-1344",
            "fax_number": "651-994-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 NICOLS RD",
            "address_2": "SUITE 202",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222306",
            "telephone_number": "651-994-1344",
            "fax_number": "651-994-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES ENDODONTIC SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WELTERS",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "651-994-1344",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.A."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.