Organization Active NPI

Jain Dental Plymouth PLLC

  • Dentist
  • Plymouth, MN
National Provider Identifier
1396121034
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12696 Issued in MN
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

Updated by the provider on Aug 5, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.