Individual provider Active NPI

Mark O Finney, DDS, PA

  • General Practice Dentistry
  • New Brighton, MN
National Provider Identifier
1376676205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9456 Issued in MN
Practice address
2459 15TH St NW
Suite C
New Brighton, MN 55112-5594
Phone
(651) 631-3100
Fax
(651) 631-1728
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9456 MN Primary

Addresses

Primary practice location

2459 15TH St NW
Suite C
New Brighton, MN 55112-5594

Mailing address

2459 15TH St NW
Suite C
New Brighton, MN 55112-5594
Phone (651) 631-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Brighton Family Dentistry, PLLC PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376676205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 15TH ST NW",
            "address_2": "SUITE C",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125594",
            "telephone_number": "651-631-3100",
            "fax_number": "651-631-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 15TH ST NW",
            "address_2": "SUITE C",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125594",
            "telephone_number": "651-631-3100",
            "fax_number": "651-631-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEY",
        "first_name": "MARK",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.