Scott L Bjerke DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SCOTT L BJERKE DDS PA

Practice address

2130 Cliff Rd
Siute 107
Eagan, MN 55122-2485

Phone

(651) 452-3112

Fax

(651) 688-0487

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Scott Lynn Bjerke

Title

Ceo

Phone

(651) 452-3112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1336575539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CLIFF RD",
            "address_2": "SIUTE 107",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222485",
            "telephone_number": "651-452-3112",
            "fax_number": "651-688-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CLIFF RD",
            "address_2": "SIUTE 107",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222485",
            "telephone_number": "651-452-3112",
            "fax_number": "651-688-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L BJERKE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "BJERKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-452-3112"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Schulz, D.C.
• Catherine Claire Schwartz, OTR/L
• Benjamin Paul Schwarz, PT, DPT
• Schwieters Medical PLLC
• Bryan J Schwieters, MD
• Dylan Scott, PT
• Courtney Seaborg, MSW, LICSW
• Mary L Sedivy, D.D.S.
• Sempron Medical Supplier LLC
• Seo, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.