Robbinsdale Clinic, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

684 Issued in MN

Legal business name

ROBBINSDALE CLINIC, P.A.

Practice address

3819 W Broadway Ave
Robbinsdale, MN 55422-2207

Phone

(763) 533-2534

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Joyce A Johnson

Title

Office Manager

Phone

(763) 533-2534

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1316022395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22220",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554220220",
            "telephone_number": "763-533-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 W BROADWAY AVE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222207",
            "telephone_number": "763-533-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBINSDALE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-533-2534"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075310600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "24D0402400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanne Ritz
• Kareem Rizk, PA
• Rksa Dental Enterprises PLLC (Crystal Lake Dental Care)
• Robbinsdale Chirocenter Inc.
• Robbinsdale Chiropractic (Plymouth Grove ChiroCenter)
• Robbinsdale Dental PLLC (minnesota dental group)
• Robbinsdale Dentalcare PA
• Robbinsdale Family Dentistry, P.a. (Minnesota Dental Group)
• Robbinsdale Opco, LLC
• Robbinsdale Pharmacy Inc

• Family Medicine Physician in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.