NPIMap

Organization Active NPI

Apple Valley Dental Care

  • Dentist
  • Apple Valley, MN
National Provider Identifier
1336201797
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10867 Issued in MN
Legal business name
APPLE VALLEY DENTAL CARE
Practice address
14635 Pennock Ave
Suite 100
Apple Valley, MN 55124-6430
Phone
(952) 432-5509
Fax
(952) 891-4894
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Dr. Michael DM Bakken, DDSNPI 1902813280
Title
Dentist
Phone
(952) 432-5509

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D10867 MN Primary

Addresses

Primary practice location

14635 Pennock Ave
Suite 100
Apple Valley, MN 55124-6430

Mailing address

14635 Pennock Ave Ste 100
Apple Valley, MN 55124-6431
Phone (952) 432-5509

Other practice location 1

2130 Cliff Rd Ste 107
Eagan, MN 55122-2486
Phone (612) 426-3221

National Provider Directory

National Provider Directory

Locations

14635 Pennock Ave
Ste 100
Apple Valley, MN 55124
Phone (952) 432-5509

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1336201797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14635 PENNOCK AVE STE 100",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246431",
            "telephone_number": "952-432-5509",
            "fax_number": "952-891-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14635 PENNOCK AVE",
            "address_2": "SUITE 100",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246430",
            "telephone_number": "952-432-5509",
            "fax_number": "952-891-4894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Cliff Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551222486",
            "country_code": "US",
            "telephone_number": "612-426-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPLE VALLEY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BAKKEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "952-432-5509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.