Organization Active NPI

Roots Midwifery, LLC

  • Birthing Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1407229750
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
ROOTS MIDWIFERY, LLC
Doing business as
Roots Community Birth Center
Practice address
1901 44TH Ave N
Minneapolis, MN 55412-1209
Phone
(612) 338-2784
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Melanie Gray
Title
Biller, Office Admin
Phone
(651) 328-7699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

1901 44TH Ave N
Minneapolis, MN 55412-1209

Mailing address

1901 44TH Ave N
Minneapolis, MN 55412-1209
Phone (612) 338-2784

Other names 1

  • Roots Community Birth Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2179696Roots Community Birth Center1901 44TH Ave N, Minneapolis, MN 55412Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Roots Community Birth Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1901 44th Ave N
Minneapolis, MN 55412
Phone (612) 338-2784

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1407229750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 44TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121209",
            "telephone_number": "612-338-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 44TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121209",
            "telephone_number": "612-338-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "BILLER, OFFICE ADMIN",
        "authorized_official_telephone_number": "651-328-7699"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Community Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.