Organization Active NPI

New Brighton Family Dentistry, PLLC

  • Dental Clinic/Center
  • New Brighton, MN
National Provider Identifier
1306426317
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEW BRIGHTON FAMILY DENTISTRY, PLLC
Practice address
2459 15TH St NW Ste C
New Brighton, MN 55112-5595
Phone
(651) 631-3100
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Dr. Grayson West, DDSNPI 1013355643
Title
Owner
Phone
(651) 631-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2459 15TH St NW Ste C
New Brighton, MN 55112-5595

Mailing address

2459 15TH St NW Ste C
New Brighton, MN 55112-5595
Phone (651) 631-3100

National Provider Directory

National Provider Directory

Locations

2459 15th St NW
Ste C
New Brighton, MN 55112
Phone (651) 631-3100

Practitioners & affiliated clinicians

Practitioners 2

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": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1306426317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 15TH ST NW STE C",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125595",
            "telephone_number": "651-631-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 15TH ST NW STE C",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125595",
            "telephone_number": "651-631-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIGHTON FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-631-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.