Northtown Center Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

9392 Issued in MN

Legal business name

NORTHTOWN CENTER DENTAL CENTER

Practice address

113 Northtown Dr NE
Blaine, MN 55434-1036

Phone

(763) 780-5007

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael John Nemetz, D.D.S.NPI 1285726430

Title

Partner Owner

Phone

(763) 780-5007

Specialties & licenses 1

Addresses

Other names 1

• Northtown Dental Other name

Locations

Practitioners 1

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.

• Michael John Nemetz, DDS

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1285726430
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336361534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NORTHTOWN DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341036",
            "telephone_number": "763-780-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NORTHTOWN DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341036",
            "telephone_number": "763-780-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHTOWN CENTER DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMETZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "763-780-5007",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northtown Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Blaine, MN
• Providers in Blaine, MN by specialty
• Dentist in Minnesota

• 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.