NPIMap

Organization Active NPI

Serene Oaks Dental

  • General Practice Dentistry
  • North Oaks, MN
National Provider Identifier
1346356052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11597 Issued in MN
Legal business name
SERENE OAKS DENTAL
Practice address
400 Village Center Dr
Suite 100
North Oaks, MN 55127-7203
Phone
(651) 288-3111
Fax
(651) 288-3113
NPI assigned
Aug 23, 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. Gesica Tenel Horn, DDSNPI 1700980455
Title
President Dentist
Phone
(651) 288-3111

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11597 MN Primary

Addresses

Primary practice location

400 Village Center Dr
Suite 100
North Oaks, MN 55127-7203

Mailing address

400 Village Center Dr
Suite 100
North Oaks, MN 55127-7203
Phone (651) 288-3111

National Provider Directory

National Provider Directory

Locations

400 Village Center Dr
Ste 100
North Oaks, MN 55127
Phone (651) 288-3111

Practitioners & affiliated clinicians

Practitioners 2

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346356052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CENTER DR",
            "address_2": "SUITE 100",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551277203",
            "telephone_number": "651-288-3111",
            "fax_number": "651-288-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CENTER DR",
            "address_2": "SUITE 100",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551277203",
            "telephone_number": "651-288-3111",
            "fax_number": "651-288-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE OAKS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "GESICA",
        "authorized_official_middle_name": "TENEL",
        "authorized_official_title_or_position": "PRESIDENT  DENTIST",
        "authorized_official_telephone_number": "651-288-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Oaks, 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.