Organization Active NPI

Hultgren & Hoxie Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eden Prairie, MN
National Provider Identifier
1316097116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HULTGREN & HOXIE ORTHODONTICS
Practice address
7825 Terrey Pine CT
Suite 101
Eden Prairie, MN 55347-1126
Phone
(952) 937-0111
Fax
(952) 937-1492
NPI assigned
Jan 12, 2007
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
Diane M Alick
Title
DDS, Ms
Phone
(952) 937-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

7825 Terrey Pine CT
Suite 101
Eden Prairie, MN 55347-1126

Mailing address

7825 Terrey Pine CT
Suite 101
Eden Prairie, MN 55347-1126
Phone (952) 937-0111

Other identifiers 1

IdentifierTypeStateIssuer
1223333X0400XOtherMNORTHODONTICS

National Provider Directory

National Provider Directory

Locations

7825 Terrey Pine Ct
Ste 101
Eden Prairie, MN 55347
Phone (952) 686-3431

Practitioners & affiliated clinicians

Practitioners 2

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316097116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 TERREY PINE CT",
            "address_2": "SUITE 101",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471126",
            "telephone_number": "952-937-0111",
            "fax_number": "952-937-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 TERREY PINE CT",
            "address_2": "SUITE 101",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471126",
            "telephone_number": "952-937-0111",
            "fax_number": "952-937-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULTGREN & HOXIE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALICK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DDS, MS",
        "authorized_official_telephone_number": "952-937-0111"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHODONTICS",
            "identifier": "1223333X0400X",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, 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.