NPIMap

Organization Active NPI

Braveland Family Dental PA

  • Dentist
  • Burnsville, MN
National Provider Identifier
1457410482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9673 Issued in MN
Legal business name
BRAVELAND FAMILY DENTAL PA
Practice address
2500 County Road 42 W
Suite 8
Burnsville, MN 55337-6945
Phone
(952) 895-0300
NPI assigned
Dec 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark F Schlaefer, DDSNPI 1376624676
Title
Doctor
Phone
(952) 895-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9673 MN Primary

Addresses

Primary practice location

2500 County Road 42 W
Suite 8
Burnsville, MN 55337-6945

Mailing address

2500 County Road 42 W
Suite 8
Burnsville, MN 55337-6945
Phone (952) 895-0300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457410482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 COUNTY ROAD 42 W",
            "address_2": "SUITE 8",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376945",
            "telephone_number": "952-895-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COUNTY ROAD 42 W",
            "address_2": "SUITE 8",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376945",
            "telephone_number": "952-895-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVELAND FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLAEFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "952-895-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • 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.