Active NPI
Rosemary Lelich PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- St Louis Park, MN
National Provider Identifier
1356967061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- ROSEMARY LELICH PA
- Practice address
- 5804 Excelsior Blvd
St Louis Park, MN 55416-2830 - Phone
- (952) 922-7117
- NPI assigned
- Jun 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemary Lelich, DMD
- Title
- Orthodontist
- Phone
- (612) 309-2322
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
5804 Excelsior Blvd
St Louis Park, MN 55416-2830
Mailing address
5804 Excelsior Blvd
St Louis Park, MN 55416-2830
National Provider Directory
National Provider DirectoryLocations
5804 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 922-7117
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Plymouth, MN
- NPI 1861809055
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- St Louis Park, MN
- NPI 1376563304
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- St Louis Park, MN
- NPI 1629115639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592438400000",
"number": "1356967061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5804 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5804 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162830",
"telephone_number": "952-922-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEMARY LELICH PA",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A",
"authorized_official_last_name": "LELICH",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "612-309-2322",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"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 Jun 18, 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.