NPIMap

Organization Active NPI

Crossings Dental Care

  • General Practice Dentistry
  • Shakopee, MN
National Provider Identifier
1346462355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12069 Issued in MN
Legal business name
CROSSINGS DENTAL CARE
Practice address
8170 Old Carriage CT Ste 150
Shakopee, MN 55379-3163
Phone
(952) 224-8090
Fax
(952) 224-8095
NPI assigned
May 2, 2007
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. Jeffrey K Wichmann, D.D.S.
Title
Owner
Phone
(952) 224-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D12069 MN Primary

Addresses

Primary practice location

8170 Old Carriage CT Ste 150
Shakopee, MN 55379-3163

Mailing address

8170 Old Carriage CT Ste 150
Shakopee, MN 55379-3163
Phone (952) 224-8090

National Provider Directory

National Provider Directory

Locations

8170 Old Carriage Ct
Ste 150
Shakopee, MN 55379
Phone (952) 224-8090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346462355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 OLD CARRIAGE CT STE 150",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793163",
            "telephone_number": "952-224-8090",
            "fax_number": "952-224-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 OLD CARRIAGE CT STE 150",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793163",
            "telephone_number": "952-224-8090",
            "fax_number": "952-224-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSINGS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICHMANN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-224-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, 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.