Active NPI
Jain Dental Plymouth PLLC
- Dentist
- Plymouth, MN
National Provider Identifier
1396121034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12696
- Legal business name
- JAIN DENTAL PLYMOUTH PLLC
- Practice address
- 2050 Merrimac LN N Ste 201
Plymouth, MN 55447-2186 - Phone
- (763) 746-4444
- Fax
- (763) 473-0816
- NPI assigned
- Aug 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Paul Trowbridge, D.D.S.
- Title
- Owner
- Phone
- (651) 227-6646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D12696 | MN | Primary |
Addresses
Primary practice location
2050 Merrimac LN N Ste 201
Plymouth, MN 55447-2186
Mailing address
2050 Merrimac LN N Ste 201
Plymouth, MN 55447-2186
Phone (763) 746-4444
National Provider Directory
National Provider DirectoryLocations
2050 Merrimac Ln N
Ste 201
Plymouth, MN 55447
Phone (763) 476-4444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438732800000",
"number": "1396121034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 MERRIMAC LN N STE 201",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554472186",
"telephone_number": "763-746-4444",
"fax_number": "763-473-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 MERRIMAC LN N STE 201",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554472186",
"telephone_number": "763-746-4444",
"fax_number": "763-473-0816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAIN DENTAL PLYMOUTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A",
"authorized_official_last_name": "TROWBRIDGE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-227-6646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MN",
"license": "D12696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.