Organization Active NPI

Heart of the City Dental

  • Dentist
  • Burnsville, MN
National Provider Identifier
1285726158
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11806 Issued in MN
Legal business name
HEART OF THE CITY DENTAL
Practice address
550 W. Burnsville Pkwy
Suite 200
Burnsville, MN 55337
Phone
(952) 890-2791
Fax
(952) 277-0200
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Mrs. Tanya Schulz Schulz Peterson, DDS
Title
Owner
Phone
(952) 890-2791

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7600 MN
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 11137 MN
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 11806 MN Primary

Addresses

Primary practice location

550 W. Burnsville Pkwy
Suite 200
Burnsville, MN 55337

Mailing address

550 W. Burnsville Pkwy
Suite 200
Burnsville, MN 55337
Phone (952) 890-2791

Other identifiers 2

IdentifierTypeStateIssuer
427513600MedicaidMN
28012SCOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

550 W Burnsville Pkwy
Ste 200
Burnsville, MN 55337
Phone (952) 890-2791

Practitioners & affiliated clinicians

Practitioners 3

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1285726158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W. BURNSVILLE PKWY",
            "address_2": "SUITE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-890-2791",
            "fax_number": "952-277-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W. BURNSVILLE PKWY",
            "address_2": "SUITE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-890-2791",
            "fax_number": "952-277-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF THE CITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "SCHULZ PETERSON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "SCHULZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-890-2791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "7600",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "11137",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "11806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427513600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28012SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.