Minnesota Craniofacial Center Midway, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

D8171 Issued in MN

Legal business name

MINNESOTA CRANIOFACIAL CENTER MIDWAY, P.A.

Practice address

2550 University Ave W
Suite 143N
Saint Paul, MN 55114-1052

Phone

(651) 642-1013

Fax

(651) 642-0947

NPI assigned

Apr 9, 2007

Last updated

Sep 26, 2013By 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. Roy Vernon Hakala, D.D.S.NPI 1497847354

Title

Ceo Owner

Phone

(651) 642-1013

Specialties & licenses 1

Addresses

Locations

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.

• Roy Vernon Hakala, DDS

  • Dentist
  • Saint Paul, MN
  • NPI 1497847354
  Authorized official Same address or phone

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1285757864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVENUE WEST",
            "address_2": "SUITE 143N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141098",
            "telephone_number": "651-642-1013",
            "fax_number": "651-642-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 143N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-642-1013",
            "fax_number": "651-642-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CRANIOFACIAL CENTER MIDWAY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "HAKALA",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "651-642-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnehaha Pharmacy Inc
• Minneosta Wellness Center LLC
• Minnesota Carepartner, LLC
• Minnesota Center for Psychology, LLC
• Minnesota Chiropractic Center, PA
• Minnesota Craniofacial Center P.C.
• Minnesota Department of Health
• Minnesota Doc
• Minnesota Foot and Ankle Clinic P a
• Minnesota Hand Rehabilitation Inc

• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.