Organization Active NPI

Biq Dental PLLC

  • Dental Clinic/Center
  • Plymouth, MN
National Provider Identifier
1265084552
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BIQ DENTAL PLLC
Practice address
28 Nathan LN N
Plymouth, MN 55441-6306
Phone
(763) 325-4555
Fax
(763) 325-4556
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Mr. Shilpa Reddy RegattiNPI 1710301114
Title
Owner
Phone
(763) 325-4555

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

28 Nathan LN N
Plymouth, MN 55441-6306

Mailing address

28 Nathan LN N
Plymouth, MN 55441-6306
Phone (763) 325-4555

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1265084552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NATHAN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416306",
            "telephone_number": "763-325-4555",
            "fax_number": "763-325-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NATHAN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416306",
            "telephone_number": "763-325-4555",
            "fax_number": "763-325-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIQ DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "REGATTI",
        "authorized_official_first_name": "SHILPA REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-325-4555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.