Bruce K.a. Dormanen, P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8151 Issued in MN

Legal business name

BRUCE K.A. DORMANEN, P.A.

Practice address

2150 3Rd Ave Ste 200
Anoka, MN 55303-2200

Phone

(763) 421-9292

Fax

(763) 421-7559

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce K.a. Dormanen, D.D.S.

Title

Ceo

Phone

(763) 421-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316035595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 3RD AVE STE 200",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032200",
            "telephone_number": "763-421-9292",
            "fax_number": "763-421-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 3RD AVE STE 200",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032200",
            "telephone_number": "763-421-9292",
            "fax_number": "763-421-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE K.A. DORMANEN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORMANEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "K.A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-421-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "8151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Brooks
• Mary Elizabeth Brown
• Robin L Brown, PHD. LP
• Stephanie Brown
• Regina Marie Browne, APRN, CNM, WHNP-BC
• Lindsey K Brune, M.A., L.M.F.T
• Tannajean M Bubalo, MS-CCC, SLP
• Tara Bubar, MSN, RN, LSN, NCSN
• Lavindica Buchanan
• Bryson Buggs

• Orthodontics and Dentofacial Orthopedics Dentistry in Anoka, MN
• Providers in Anoka, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• 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.