Isanti Family Dental, P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ISANTI FAMILY DENTAL, P.L.L.C.

Practice address

401 E Dual Blvd
Isanti, MN 55040-7163

Phone

(763) 444-5541

NPI assigned

Oct 30, 2019

Last updated

Jul 15, 2021By 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

Barbra Curtis, RDH

Title

Director of Operations

Phone

(651) 470-9590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon U Fredeen, D.D.S.,P.A.

  • General Practice Dentistry
  • Isanti, MN
  • NPI 1790858967
  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1447894753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 305TH AVE NE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550086704",
            "telephone_number": "651-470-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E DUAL BLVD",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407163",
            "telephone_number": "763-444-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISANTI FAMILY DENTAL, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "BARBRA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "651-470-9590",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Accessibility Services
• Melinda Elizabeth Hix-Demulling, LPCC
• Hope Works Counseling
• Independance Modifications Inc
• Isanti Chiropractic Clinic, PA
• J&K Comfort Home
• J&K Comfort Home
• J&K Comfort Home (J&K Comfort Homes)
• J&K Comfort Home
• Reed Karsten, LAC

• Dental Clinic/Center in Isanti, MN
• Providers in Isanti, 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 Jul 15, 2021; 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.