NPIMap

Organization Active NPI

Baxter Dental

  • Dental Clinic/Center
  • Baxter, MN
National Provider Identifier
1245840487
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BAXTER DENTAL
Practice address
13442 Elmwood Dr
Baxter, MN 56425-8400
Phone
(218) 829-4207
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Scott TimmonsNPI 1356486997
Title
DDS
Phone
(218) 829-4207

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13442 Elmwood Dr
Baxter, MN 56425-8400

Mailing address

13442 Elmwood Dr
Baxter, MN 56425-8400
Phone (218) 829-4207

Other names 1

  • Baxter Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

13442 Elmwood Dr
Baxter, MN 56425
Phone (218) 825-8221

Practitioners & affiliated clinicians

Practitioners 3

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": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1245840487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13442 ELMWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258400",
            "telephone_number": "218-829-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13442 ELMWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258400",
            "telephone_number": "218-829-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "218-829-4207"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baxter Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.