Elan Dental Arts, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D11026 Issued in MN

Legal business name

ELAN DENTAL ARTS, P.C.

Practice address

16154 Main Ave SE
Suite 110a
Prior Lake, MN 55372-4800

Phone

(952) 447-6290

Fax

(952) 447-6292

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By 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

Dr. James Harper Perry, D.D.S.

Title

Owner

Phone

(952) 447-6290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1407182629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16154 MAIN AVE SE",
            "address_2": "SUITE 110A",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724800",
            "telephone_number": "952-447-6290",
            "fax_number": "952-447-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16154 MAIN AVE SE",
            "address_2": "SUITE 110A",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724800",
            "telephone_number": "952-447-6290",
            "fax_number": "952-447-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN DENTAL ARTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-447-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Prior Lake, MN
• Providers in Prior Lake, 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 Oct 22, 2009; 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.