Organization Active NPI

Normandale Dental, P.a.

  • Dental Clinic/Center
  • Bloomington, MN
National Provider Identifier
1265763338
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D11368 Issued in MN
Legal business name
NORMANDALE DENTAL, P.A.
Practice address
10700 Normandale Blvd
Bloomington, MN 55437-2700
Phone
(952) 888-9661
NPI assigned
Jan 28, 2010
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Dr. Renee Jean Lehn, DDSNPI 1093837676
Title
President, Dentist Owner
Phone
(952) 888-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D11368 MN Primary

Addresses

Primary practice location

10700 Normandale Blvd
Bloomington, MN 55437-2700

Mailing address

10700 Normandale Blvd
Bloomington, MN 55437-2700
Phone (952) 888-9661

National Provider Directory

National Provider Directory

Locations

10700 Normandale Blvd
Bloomington, MN 55437
Phone (952) 888-5805

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": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1265763338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 NORMANDALE BLVD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372700",
            "telephone_number": "952-888-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 NORMANDALE BLVD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372700",
            "telephone_number": "952-888-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDALE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "LEHN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT, DENTIST OWNER",
        "authorized_official_telephone_number": "952-888-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.