NPIMap

Organization Active NPI

Hillcrest Dental Center PLLC

  • Dental Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1316673239
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HILLCREST DENTAL CENTER PLLC
Practice address
1762 Iowa Ave E
Saint Paul, MN 55106-1342
Phone
(651) 771-6464
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Kai Ahlman, DDSNPI 1245793678
Title
General Dentist/Owner
Phone
(952) 220-1894

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1762 Iowa Ave E
Saint Paul, MN 55106-1342

Mailing address

2212 Fairmeadows Rd
Stillwater, MN 55082-5321
Phone (952) 220-1894

Other identifiers 1

IdentifierTypeStateIssuer
1245793678MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@hillcrestdentalcenterstp.com Direct

National Provider Directory

National Provider Directory

Locations

1762 Iowa Ave E
Saint Paul, MN 55106
Phone (651) 771-6464

Interoperability endpoints

  • Direct secure messaging: info@hillcrestdentalcenterstp.com

Practitioners & affiliated clinicians

Practitioners 2

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1316673239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 FAIRMEADOWS RD",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825321",
            "telephone_number": "952-220-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 IOWA AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061342",
            "telephone_number": "651-771-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "AHLMAN",
        "authorized_official_first_name": "KAI",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "952-220-1894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245793678",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@hillcrestdentalcenterstp.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1762 Iowa Ave E",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551061342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.