Pan Orthodontic Clinics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D12800 Issued in MN

Legal business name

PAN ORTHODONTIC CLINICS

Practice address

5101 Vernon Ave S
Suite 502
Edina, MN 55436-2172

Phone

(952) 926-3747

Fax

(952) 926-0701

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yu Pan, D.D.S., PH.D.NPI 1821345968

Title

President

Phone

(952) 926-3747

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.

• Yu Pan, D.D.S., PH.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edina, MN
  • NPI 1821345968
  NPD (past) Authorized official
• Stanley P Williamson, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edina, MN
  • NPI 1497833545
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1396089298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 VERNON AVE S",
            "address_2": "SUITE 502",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362172",
            "telephone_number": "952-926-3747",
            "fax_number": "952-926-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 VERNON AVE S",
            "address_2": "SUITE 502",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362172",
            "telephone_number": "952-926-3747",
            "fax_number": "952-926-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN ORTHODONTIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "YU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-926-3747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PH.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D12800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Palecek, RN
• James Palmer, DPT,ATC
• Renea Marie Palmer, CRNA
• Alice Palmiere, RD, LD
• Steven Pals, NP-C
• Lawrence S Pan, M.D.
• Yu Pan, D.D.S., PH.D.
• Michael Jerome Pane, MD
• Georgia E Panopoulos, PHD, LP
• Michaele Noel Paoli, LICSW, RYT

• Orthodontics and Dentofacial Orthopedics Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.