NPIMap

Organization Active NPI

Affiliated Pediatric Dentists PA

Doing business as Dentistry for Children and Adolescents

  • Pediatric Dentistry
  • Edina, MN
National Provider Identifier
1306853437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AFFILIATED PEDIATRIC DENTISTS PA
Doing business as
Dentistry for Children and Adolescents
Practice address
7373 France Ave So
Suite 402
Edina, MN 55435-4598
Phone
(952) 831-4400
Fax
(952) 893-3041
NPI assigned
Aug 2, 2006
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. Kurt Jay King, DDSNPI 1750398392
Title
President
Phone
(952) 831-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

7373 France Ave So
Suite 402
Edina, MN 55435-4598

Mailing address

7373 France Ave So
Suite 402
Edina, MN 55435-4598
Phone (952) 831-4400

Other names 1

  • Dentistry for Children and Adolescents Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affiliated Pediatric Dentists PA3 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306853437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE SO",
            "address_2": "SUITE 402",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354598",
            "telephone_number": "952-831-4400",
            "fax_number": "952-893-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE SO",
            "address_2": "SUITE 402",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354598",
            "telephone_number": "952-831-4400",
            "fax_number": "952-893-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PEDIATRIC DENTISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-831-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for Children and Adolescents",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.