Organization Active NPI

Robert E. Derr D.D.S. and Amy CHI D.D.S. Family Dentistry

  • General Practice Dentistry
  • Eden Prairie, MN
National Provider Identifier
1386297398
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERT E. DERR D.D.S. AND AMY CHI D.D.S. FAMILY DENTISTRY
Practice address
7825 Terrey Pine CT
Eden Prairie, MN 55347-1705
Phone
(952) 934-3569
Fax
(952) 934-3586
NPI assigned
Jul 18, 2019
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Dr. Amy Theresa CHI, DDSNPI 1992932172
Title
Owner
Phone
(612) 423-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

7825 Terrey Pine CT
Eden Prairie, MN 55347-1705

Mailing address

7825 Terrey Pine CT
Eden Prairie, MN 55347-1705
Phone (952) 934-3569

National Provider Directory

National Provider Directory

Locations

7825 Terrey Pine Ct
Eden Prairie, MN 55347
Phone (952) 934-3569

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1386297398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 TERREY PINE CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471705",
            "telephone_number": "952-934-3569",
            "fax_number": "952-934-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 TERREY PINE CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471705",
            "telephone_number": "952-934-3569",
            "fax_number": "952-934-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. DERR D.D.S. AND AMY CHI D.D.S. FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.