Children's Dental Care Specialists

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D12014 Issued in MN

Legal business name

CHILDREN'S DENTAL CARE SPECIALISTS

Doing business as

Kid Grins Pediatric Dentistry

Practice address

7450 France Ave S
Suite 250
Edina, MN 55435-4787

Phone

(952) 925-5334

NPI assigned

Apr 4, 2007

Last updated

Sep 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amey L Severson, D.M.D.

Title

Owner

Phone

(952) 925-5334

Specialties & licenses 1

Addresses

Other names 1

• Kid Grins Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1265554075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 250",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-925-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 250",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-925-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "AMEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-925-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D12014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kid Grins Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trokon Lasanna Chenoweth
• Cally Chermak, MD
• Michelle Fillmore Chiapetta, CRNA
• Child and Family Chiropractic Center, LLC
• Children's Clinic Network (Metropolitan Pediatric Specialists)
• Children's Health Care (Metropolitan Pediatric Specialists)
• Chinese Acupuncture & Herb Center
• Peter Y Chiou, M.D.
• Chiropractic Health & Wellness Center, P.a.
• Mimi Cho, M.D.

• Pediatric Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.