St. Paul Pediatric Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

S37 Issued in MN

Legal business name

ST. PAUL PEDIATRIC DENTISTRY, PC

Practice address

1514 White Bear Ave N
Saint Paul, MN 55106-1624

Phone

(651) 774-0311

NPI assigned

Mar 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Julie C Haman, DDSNPI 1013909381

Title

President

Phone

(651) 774-0311

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Julie C Haman, DDS

  • Pediatric Dentistry
  • Saint Paul, MN
  • NPI 1013909381
  NPD (past) Authorized official
• Thomas James McCarter, DDS

  • Pediatric Dentistry
  • Saint Paul, MN
  • NPI 1659473205
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1386943876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061624",
            "telephone_number": "651-774-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061624",
            "telephone_number": "651-774-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "HAMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-774-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "S37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Paul Family Medical Center PA
• St. Paul Heart Clinic, P.a.
• St. Paul Infectious Disease Associates, LTD.
• St. Paul Opco, LLC
• St. Paul Opticians, Inc.
• St. Paul School of Northern Lights
• St. Paul Youth Services
• St. Paul-Ramsey County Public Health
• St. Paul'S Church Home
• St. Peter Street Clinic

• Dental Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, 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 Mar 23, 2011; 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.