Hamline Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAMLINE FAMILY DENTAL

Practice address

1347 Larpenteur Ave W
Falcon Heights, MN 55113-6302

Phone

(651) 699-5600

Fax

(651) 699-1966

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Charlene Marie Devine

Title

Business Manager

Phone

(651) 699-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1275150989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136302",
            "telephone_number": "651-699-5600",
            "fax_number": "651-699-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136302",
            "telephone_number": "651-699-5600",
            "fax_number": "651-699-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLINE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-699-5600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Susan Bass, M.D.
• Brian David Chmiel, D.C.
• Daniel Joseph Delahunt, DC
• Najma Ibrahim Elmi
• Larry Lee Estebo, D.C.
• James Kernik, D.D.S.
• Christiane Blank Knaus, PHARMD RPH
• Eric Gordon Koehler, DC
• Sarah Lavaque
• Mercarik Inc

• General Practice Dentistry in Falcon Heights, MN
• Providers in Falcon Heights, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.