NPIMap

Organization Active NPI

Rhode Island Dental, P.a.

  • General Practice Dentistry
  • St Louis Park, MN
National Provider Identifier
1346273059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10137 Issued in MN
Legal business name
RHODE ISLAND DENTAL, P.A.
Practice address
3645 Rhode Island Ave S
St Louis Park, MN 55426-4030
Phone
(952) 938-7628
NPI assigned
Jul 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Doug Talus
Title
Vice President
Phone
(952) 938-7628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D10137 MN Primary

Addresses

Primary practice location

3645 Rhode Island Ave S
St Louis Park, MN 55426-4030

Mailing address

3645 Rhode Island Ave S
St Louis Park, MN 55426-4030
Phone (952) 938-7628

National Provider Directory

National Provider Directory

Locations

3645 Rhode Island Ave S
St Louis Park, MN 55426
Phone (952) 938-7628

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346273059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 RHODE ISLAND AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264030",
            "telephone_number": "952-938-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 RHODE ISLAND AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264030",
            "telephone_number": "952-938-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALUS",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "952-938-7628",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • 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.