NPIMap

Organization Active NPI

Apple Tree Dental

  • General Practice Dentistry
  • Mounds View, MN
National Provider Identifier
1407275183
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APPLE TREE DENTAL
Practice address
2442 Mounds View Blvd
Mounds View, MN 55112
Phone
(763) 316-5400
Fax
(763) 780-9005
NPI assigned
Apr 10, 2014
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Nancy J. Schumacher
Title
Chief Financial Officer
Phone
(763) 784-7993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2442 Mounds View Blvd
Mounds View, MN 55112

Mailing address

2201 26TH Ave NW
New Brighton, MN 55112-5005
Phone (763) 784-7993

National Provider Directory

National Provider Directory
Tax ID family
Apple Tree Dental California LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1407275183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 26TH AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125005",
            "telephone_number": "763-784-7993",
            "fax_number": "763-784-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 MOUNDS VIEW BLVD",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "763-316-5400",
            "fax_number": "763-780-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE TREE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "763-784-7993"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mounds View, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.