Today'S Dental Rogers LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TODAY'S DENTAL ROGERS LLC

Practice address

21897 S Diamond Lake Rd Ste 600
Rogers, MN 55374-4649

Phone

(763) 657-0872

NPI assigned

Aug 15, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Jacque Erickson

Title

Office Manager

Phone

(763) 710-9937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonaventure Chisom Nwokocha, D.D.S

  • General Practice Dentistry
  • Brooklyn Park, MN
  • NPI 1194018374
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1386372597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21897 S DIAMOND LAKE RD STE 600",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744649",
            "telephone_number": "763-657-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21897 S DIAMOND LAKE RD STE 600",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744649",
            "telephone_number": "763-657-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODAY'S DENTAL ROGERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-710-9937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL  DENTAL",
            "identifier": "1194018374",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rae Thielen
• Kristina Kay Thissen, PA-S
• Rashonna Thomas
• Courtnie Lee Thunberg, LMFT
• Kyra Tiffany, LICSW
• Jo Ellen Torola, MASSAGE THERAPIST
• Leslie A Trcka, M.D.
• True Movement PLLC
• Turtle Cove Dental
• Unity Autism Solutions LLC

• Dental Clinic/Center in Rogers, MN
• Providers in Rogers, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.