Wood Crest Building & Remodeling Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

BC628706 Issued in MN

Legal business name

WOOD CREST BUILDING & REMODELING INC.

Practice address

24140 Primrose LN N
Scandia, MN 55073-9681

Phone

(651) 433-3779

Fax

(651) 433-3771

NPI assigned

Feb 19, 2018

Organization subpart

No

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

Authorized official

Name

Erik James Anderson, CEO

Title

Building Contractor

Phone

(651) 246-9457

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wood Crest Builders Doing business as

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1356841019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24140 PRIMROSE LN N",
            "city": "SCANDIA",
            "state": "MN",
            "postal_code": "550739681",
            "telephone_number": "651-433-3779",
            "fax_number": "651-433-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24140 PRIMROSE LN N",
            "city": "SCANDIA",
            "state": "MN",
            "postal_code": "550739681",
            "telephone_number": "651-433-3779",
            "fax_number": "651-433-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD CREST BUILDING & REMODELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "BUILDING CONTRACTOR",
        "authorized_official_telephone_number": "651-246-9457",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "BC628706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA CONTRACTORS LICENSE NUMBER",
            "identifier": "BC628706",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood Crest Builders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Scandia, MN
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.