Organization Active NPI

Craniofacial Imaging

  • Oral and Maxillofacial Radiology Dentistry
  • Edina, MN
National Provider Identifier
1285768812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
Legal business name
CRANIOFACIAL IMAGING
Practice address
6545 France Ave S Ste C61
Edina, MN 55435-2157
Phone
(952) 926-1626
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott R Bowlby
Title
General Partner
Phone
(952) 926-1626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X NU Primary

Addresses

Primary practice location

6545 France Ave S Ste C61
Edina, MN 55435-2157

Mailing address

6545 France Ave S Ste C61
Edina, MN 55435-2157
Phone (952) 926-1626

National Provider Directory

National Provider Directory

Locations

6545 France Ave S
Ste C61
Edina, MN 55435
Phone (952) 926-1626

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285768812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE C61",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352157",
            "telephone_number": "952-926-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE C61",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352157",
            "telephone_number": "952-926-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWLBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "952-926-1626",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.