NPIMap

Organization Active NPI

West Central Dental Resource, Inc

  • Dentist
  • Alexandria, MN
National Provider Identifier
1295888246
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9227 Issued in MN
Legal business name
WEST CENTRAL DENTAL RESOURCE, INC
Practice address
700 Cedar St Ste 44
Alexandria, MN 56308-1787
Phone
(320) 815-5711
NPI assigned
Jan 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Mary L Olsen, RDH
Title
Coordinator
Phone
(320) 815-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9227 MN Primary

Addresses

Primary practice location

700 Cedar St Ste 44
Alexandria, MN 56308-1787

Mailing address

700 Cedar St Ste 44
Alexandria, MN 56308-1787
Phone (320) 815-5711

Other names 1

  • Caring Hands Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caring Hands Dental Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1295888246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CEDAR ST STE 44",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081787",
            "telephone_number": "320-815-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CEDAR ST STE 44",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081787",
            "telephone_number": "320-815-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL DENTAL RESOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "320-815-5711",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Hands Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.