NPIMap

Organization Active NPI

Wecare Dental of Eagan P.C

Doing business as Enhance Dental

  • Dental Clinic/Center
  • Eagan, MN
National Provider Identifier
1316351703
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11353 Issued in MN
Legal business name
WECARE DENTAL OF EAGAN P.C
Doing business as
Enhance Dental
Practice address
1625 Lena Court Suite 100
Eagan, MN 55122
Phone
(651) 452-4111
NPI assigned
Jun 13, 2014
Last updated
Jul 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Thanh Pham
Title
President
Phone
(763) 560-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11353 MN Primary

Addresses

Primary practice location

1625 Lena Court Suite 100
Eagan, MN 55122

Mailing address

7532 Brooklyn Blvd
Brooklyn Park, MN 55443
Phone (763) 560-1555

Other names 1

  • Enhance Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1625 Lena Ct
Ste 100
Eagan, MN 55122
Phone (651) 452-4111

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": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1316351703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 BROOKLYN BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-560-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 LENA COURT SUITE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "651-452-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WECARE DENTAL OF EAGAN P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-560-1555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "11353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhance Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.