Active NPI
Children's Dental Services
- Public Health Dentistry
- Litchfield, MN
National Provider Identifier
1407224827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- Legal business name
- CHILDREN'S DENTAL SERVICES
- Practice address
- 325 N Sibley Ave
Litchfield, MN 55355-2150 - Phone
- (612) 746-1530
- Fax
- (612) 746-1531
- NPI assigned
- Sep 2, 2015
- Last updated
- Sep 2, 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
- Sarah Wovcha
- Title
- Executive Director
- Phone
- (612) 746-1530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | NU | Primary |
Addresses
Primary practice location
325 N Sibley Ave
Litchfield, MN 55355-2150
Mailing address
325 N Sibley Ave
Litchfield, MN 55355-2150
Phone (612) 746-1530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9212238 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Children's Dental Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health Dentistry
- Chisholm, MN
- NPI 1669842662
-
- Public Health Dentistry
- Buffalo, MN
- NPI 1972987055
-
- Public Health Dentistry
- Minneapolis, MN
- NPI 1407973605
Locations
325 N Sibley Ave
Litchfield, MN 55355
Phone (612) 746-1530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441152000000",
"number": "1407224827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N SIBLEY AVE",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553552150",
"telephone_number": "612-746-1530",
"fax_number": "612-746-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SIBLEY AVE",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553552150",
"telephone_number": "612-746-1530",
"fax_number": "612-746-1531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S DENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A",
"authorized_official_last_name": "WOVCHA",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-746-1530"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9212238",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, MN
- Carris Health LLC
- Carris Health LLC
- Dexter Runa Casta, M.D.
- Kristen Lynn Cayler, RN
- Kristle Ann Chase, LICSW
- Rachelle Christie, BS, LADC
- Cornerstone Care
- County of Meeker (Meeker Memorial Hospital & Clinics - East/West)
- County of Meeker (Meeker Memorial Hospital - InstyMeds)
- County of Meeker (Meeker Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.