Mississippi Headwaters Area Dental Health Center, Inc.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.

Practice address

616 America Ave NW Ste 340
Attention Mary Marchell
Bemidji, MN 56601-3871

Phone

(218) 333-8119

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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

Ms. Mary Marchel

Title

Secretary, Treasurer

Phone

(218) 333-8119

Specialties & licenses 1

Addresses

Tax ID family

Mississippi Headwaters Area Dental Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Mississippi Headwaters Area Dental Health Center, Inc.

  dba Northern Dental Access Center

  • Dental Clinic/Center
  • Bagley, MN
  • NPI 1225811102
  NPD tax ID
• Mississippi Headwaters Area Dental Health Center, Inc.

  dba Northern Dental Access Center

  • Public Health Dentistry
  • Park Rapids, MN
  • NPI 1457101974
  NPD tax ID
• Mississippi Headwaters Area Dental Health Center, Inc.

  dba Northern Dental Access Center

  • Dental Clinic/Center
  • Halstad, MN
  • NPI 1669949442
  NPD tax ID

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mississippi Headwaters Area Dental Health Center, Inc.

  dba Northern Dental Access Center

  • Dental Clinic/Center
  • Bagley, MN
  • NPI 1225811102
  NPPES parent name
• Mississippi Headwaters Area Dental Health Center, Inc.

  dba Northern Dental Access Center

  • Public Health Dentistry
  • Park Rapids, MN
  • NPI 1457101974
  NPPES parent name
• Mississippi Headwaters Area Dental Health Center, Inc.

  dba Northern Dental Access Center

  • Dental Clinic/Center
  • Halstad, MN
  • NPI 1669949442
  NPPES parent name

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437287679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 AMERICA AVE NW STE 340",
            "address_2": "ATTENTION MARY MARCHELL",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013871",
            "telephone_number": "218-333-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 AMERICA AVE NW STE 340",
            "address_2": "ATTENTION MARY MARCHELL",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013871",
            "telephone_number": "218-333-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCHEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SECRETARY, TREASURER",
        "authorized_official_telephone_number": "218-333-8119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layne Miller Jr., FNP-C
• Mark A Miller, LMFT
• Thomas E Miller, M.D.
• Judith A Mills, D.O.
• Minnesota State Colleges and Universities (Bemidji State University Student Center for Health and Counseling)
• Joshua Mistic, DPT
• Amanda Mlaker, MSW, LICSW, LADC
• MN Lakers Transportation, LLC
• Anna Marie Mock
• Lindsey Rae Moe, LPCC

• Public Health Dentistry in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Public Health Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.