Organization Active NPI

Asp Dental, PC

Doing business as Noesen and Associates

  • Dental Clinic/Center
  • Red Wing, MN
National Provider Identifier
1235746645
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ASP DENTAL, PC
Doing business as
Noesen and Associates
Practice address
608 Technology Dr
Red Wing, MN 55066-2846
Phone
(651) 388-1806
NPI assigned
Sep 29, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ASP DENTAL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Robyn Theisen
Title
VP of Operations
Phone
(952) 250-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

608 Technology Dr
Red Wing, MN 55066-2846

Mailing address

608 Technology Dr
Red Wing, MN 55066-2846
Phone (651) 388-1806

Other names 1

  • Noesen and Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asp Dental PC4 organizations share this tax ID, including this one
Part of
Asp Dental PC

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1235746645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 TECHNOLOGY DR",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662846",
            "telephone_number": "651-388-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 TECHNOLOGY DR",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662846",
            "telephone_number": "651-388-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASP DENTAL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASP DENTAL, PC",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "THEISEN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "952-250-3060"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noesen and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.