Circle Pines Dental P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CIRCLE PINES DENTAL P.A.

Practice address

640 Civic Heights Dr
Circle Pines, MN 55014-1792

Phone

(763) 786-3432

Fax

(763) 786-0304

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Ann Asted

Title

Consultant

Phone

(763) 786-3432

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Neal Utter Benjamin, DDS

  • General Practice Dentistry
  • Circle Pines, MN
  • NPI 1023149275
  NPD (past)
• Corey John Husu, DDS

  • General Practice Dentistry
  • Circle Pines, MN
  • NPI 1134250202
  NPD (past)
• John M Stentz, DDS

  • General Practice Dentistry
  • Circle Pines, MN
  • NPI 1881655538
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386775450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CIVIC HEIGHTS DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141792",
            "telephone_number": "763-786-3432",
            "fax_number": "763-786-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CIVIC HEIGHTS DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141792",
            "telephone_number": "763-786-3432",
            "fax_number": "763-786-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE PINES DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASTED",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "763-786-3432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna L Calcaterra, RD
• Amy Kapaun Carlson
• Centennial Eye Care
• Centennial School District
• Shaina L Christen
• Circle Pines Family Dental PLLC
• Jessica Corcoran
• Paul David Craven, DDS
• Kristine Marie Davies
• Roger J. Day, M.D.

• General Practice Dentistry in Circle Pines, MN
• Providers in Circle Pines, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.