NPIMap

Organization Active NPI

Maple Plain Dental, PLLC

  • General Practice Dentistry
  • Orono, MN
National Provider Identifier
1376716043
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11430 Issued in MN
Legal business name
MAPLE PLAIN DENTAL, PLLC
Doing business as
Orono Dental Care
Practice address
2765 Kelley Pkwy Ste 140
Orono, MN 55356-5802
Phone
(952) 449-9494
Fax
(952) 449-9499
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Michael J Skramstad, DDSNPI 1184799181
Title
Owner
Phone
(952) 449-9494

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D11430 MN Primary

Addresses

Primary practice location

2765 Kelley Pkwy Ste 140
Orono, MN 55356-5802

Mailing address

2765 Kelley Pkwy Ste 140
Orono, MN 55356-5802
Phone (952) 449-9494

Other names 1

  • Orono Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1376716043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 KELLEY PKWY STE 140",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553565802",
            "telephone_number": "952-449-9494",
            "fax_number": "952-449-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 KELLEY PKWY STE 140",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553565802",
            "telephone_number": "952-449-9494",
            "fax_number": "952-449-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE PLAIN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "SKRAMSTAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-449-9494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orono Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orono, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.