NPIMap

Organization Active NPI

Twin Cities TMJ & Facial Pain Clinic, LTD.

  • Dentist
  • St Louis Park, MN
National Provider Identifier
1225201213
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9577 Issued in MN
Legal business name
TWIN CITIES TMJ & FACIAL PAIN CLINIC, LTD.
Practice address
6600 Excelsior Blvd
Suite 191
St Louis Park, MN 55426-4744
Phone
(952) 931-9961
Fax
(952) 931-3944
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. David Charles Streif, DDS
Title
President
Phone
(952) 931-9961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9577 MN Primary

Addresses

Primary practice location

6600 Excelsior Blvd
Suite 191
St Louis Park, MN 55426-4744

Mailing address

6600 Excelsior Blvd
Suite 191
St Louis Park, MN 55426-4744
Phone (952) 931-9961

National Provider Directory

National Provider Directory

Locations

6600 Excelsior Blvd
Ste 191
St Louis Park, MN 55426
Phone (952) 931-9961

Practitioners & affiliated clinicians

Practitioners 2

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": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1225201213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD",
            "address_2": "SUITE 191",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264744",
            "telephone_number": "952-931-9961",
            "fax_number": "952-931-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD",
            "address_2": "SUITE 191",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264744",
            "telephone_number": "952-931-9961",
            "fax_number": "952-931-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES TMJ & FACIAL PAIN CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "STREIF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-931-9961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.