Organization Active NPI

Northpointe Dental Sleep Medicine

  • Durable Medical Equipment & Medical Supplies
  • Blaine, MN
National Provider Identifier
1316385487
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
D8636 Issued in MN
Legal business name
NORTHPOINTE DENTAL SLEEP MEDICINE
Practice address
607 County Road 10 NE
Suite 100
Blaine, MN 55434-2373
Phone
(763) 780-1300
Fax
(763) 785-7818
NPI assigned
Jun 11, 2013
Organization subpart
Yes
Parent organization
NORTHPOINTE DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Dr. Craig Lawrence Rathjen, DDSNPI 1578570115
Title
Owner
Phone
(763) 780-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X D8636 MN Primary

Addresses

Primary practice location

607 County Road 10 NE
Suite 100
Blaine, MN 55434-2373

Mailing address

607 County Road 10 NE
Suite 100
Blaine, MN 55434-2373
Phone (763) 780-1300

National Provider Directory

National Provider Directory
Part of
Northpointe Dental Sleep Medicine

Locations

607 County Road 10 NE
Ste 100
Blaine, MN 55434
Phone (763) 780-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1316385487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 COUNTY ROAD 10 NE",
            "address_2": "SUITE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342373",
            "telephone_number": "763-780-1300",
            "fax_number": "763-785-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 COUNTY ROAD 10 NE",
            "address_2": "SUITE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342373",
            "telephone_number": "763-780-1300",
            "fax_number": "763-785-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPOINTE DENTAL SLEEP MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHPOINTE DENTAL CARE",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "RATHJEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-780-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "D8636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.