NPIMap

Organization Active NPI

Group Health, Inc.

Doing business as HealthPartners Specialty Dental

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Paul, MN
National Provider Identifier
1225629017
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GROUP HEALTH, INC.
Doing business as
HealthPartners Specialty Dental
Practice address
2500 Como Ave
Saint Paul, MN 55108-1460
Phone
(651) 647-2500
NPI assigned
Feb 3, 2021
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Alita Risinger
Title
Sr Vice President, Cfo
Phone
(952) 883-5401

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X
Periodontics 1223P0300X
Prosthodontics 1223P0700X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

2500 Como Ave
Saint Paul, MN 55108-1460

Mailing address

8170 33Rd Ave S
Mailstop 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-5155

Other practice location 1

8515 Eagle Point Blvd Ste 200
Lake Elmo, MN 55042-8624
Phone (651) 523-9950

Other practice location 2

8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974
Phone (952) 883-9040

Other practice location 3

8600 Nicollet Ave S
Bloomington, MN 55420-2824
Phone (952) 541-2888

Other names 1

  • HealthPartners Specialty Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000417 MN Part B Supplier - Clinic/Group Practice 1759293954 Receives reassigned benefits from 2,613 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

National Provider Directory

National Provider Directory
Tax ID family
Ramsey Clinic Osceola69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

640 Jackson St
#11102M
Saint Paul, MN 55101
Phone (651) 254-4887

640 Jackson St
Stop 11503P
Saint Paul, MN 55101
Phone (651) 254-3456

640 Jackson St
Stop 211104C
Saint Paul, MN 55101

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1225629017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MAILSTOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081460",
            "telephone_number": "651-647-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8515 Eagle Point Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550428624",
            "country_code": "US",
            "telephone_number": "651-523-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8455 Flying Cloud Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553443974",
            "country_code": "US",
            "telephone_number": "952-883-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 Nicollet Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554202824",
            "country_code": "US",
            "telephone_number": "952-541-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROUP HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "RISINGER",
        "authorized_official_first_name": "ALITA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "952-883-5401"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPartners Specialty Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.