Eden Prairie Orthodontic Assoc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

EDEN PRAIRIE ORTHODONTIC ASSOC

Practice address

8200 Commonwealth Dr # 100
Eden Prairie, MN 55344-5365

Phone

(952) 829-0686

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 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

Diane Schultz

Title

Office Manager

Phone

(952) 829-0686

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.

• Douglas William Vayda, DDS, DMSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chaska, MN
  • NPI 1659476521
  NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1457969636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 COMMONWEALTH DR # 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445365",
            "telephone_number": "952-829-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 COMMONWEALTH DR # 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445365",
            "telephone_number": "952-829-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PRAIRIE ORTHODONTIC ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "952-829-0686"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin R Edelman, M.D.
• Eden Lakes Dental LLC (Preserve Parkway Dental)
• Eden Prairie Chiropractic Clinic Inc (Eden Prairie ChiroCenter)
• Eden Prairie Eye Care
• Eden Prairie Meals on Wheels
• Eden Prairie School District 272
• Eden Prairie Senior Living
• Eden Therapy Center, LLC (Eden Therapy Center)
• Eden Transportation Services LLC
• Edenwood Transportation LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

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