Foundations Psa LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOUNDATIONS PSA LLC

Practice address

126 Pioneer TRL
Chaska, MN 55318-1167

Phone

(952) 472-7738

NPI assigned

Aug 25, 2023

Last updated

May 11, 2026By 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. Stephanie Miner, DDSNPI 1750470068

Title

Owner

Phone

(952) 955-4300

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Stephanie Lynn Miner, D.D.S.

  • Dentist
  • Chaska, MN
  • NPI 1750470068
  Medicare reassignment NPD Authorized official
• Laurie Dawn Strand, DDS

  • General Practice Dentistry
  • Chaska, MN
  • NPI 1730208174
  Medicare reassignment NPD

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1275318628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SUNNYBROOK CIR",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553641276",
            "telephone_number": "612-387-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PIONEER TRL",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181167",
            "telephone_number": "952-472-7738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Shoreline Dr",
            "address_purpose": "LOCATION",
            "city": "Mound",
            "state": "MN",
            "postal_code": "553641770",
            "country_code": "US",
            "telephone_number": "952-955-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS PSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-955-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Ryan Flack, DPT, PT
• Megan Elizabeth Flynn, PHARMD
• Charlene Ann Forcier, MS, LMFT
• Fortress Mental Health
• Jenna M Foss, LPCC
• Jennifer Fowler, OTR
• Roderick Wayne Franks, M.A.
• Amy Jean Freed, O.D.
• Christopher J Freed, O.D.
• Ellen Kathryn Freeman, PA

• General Practice Dentistry in Chaska, MN
• Providers in Chaska, 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 May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.