NPIMap

Organization Active NPI

Center Street Dental Professionals, P.a.

  • General Practice Dentistry
  • Roseau, MN
National Provider Identifier
1346410909
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CENTER STREET DENTAL PROFESSIONALS, P.A.
Practice address
308 Center St W
Roseau, MN 56751-1419
Phone
(218) 463-1070
Fax
(218) 463-1170
NPI assigned
Mar 10, 2008
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Nghi Trinh-Pham, DDSNPI 1316047798
Title
President
Phone
(218) 463-1070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8357 MN
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

308 Center St W
Roseau, MN 56751-1419

Mailing address

308 Center St W
Roseau, MN 56751-1419
Phone (218) 463-1070

Other names 1

  • Nghi Trinh-Pham, DDS Other name

National Provider Directory

National Provider Directory

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1346410909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CENTER ST W",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511419",
            "telephone_number": "218-463-1070",
            "fax_number": "218-463-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CENTER ST W",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511419",
            "telephone_number": "218-463-1070",
            "fax_number": "218-463-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET DENTAL PROFESSIONALS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "TRINH-PHAM",
        "authorized_official_first_name": "NGHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-463-1070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "8357",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nghi Trinh-Pham, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseau, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.