Dentalign, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11493 Issued in MN

Legal business name

DENTALIGN, PA

Doing business as

TC Orthodontics

Practice address

2999 County Road 42 W Suite 138
Burnsville, MN 55306

Phone

(952) 892-3282

NPI assigned

Jan 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Chad Holly Kelly

Title

President

Phone

(612) 701-0478

Specialties & licenses 1

Addresses

Other names 1

• TC Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1467799924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 EDGEBROOK PLACE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55424",
            "telephone_number": "612-701-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 COUNTY ROAD 42 W SUITE 138",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55306",
            "telephone_number": "952-892-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALIGN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-701-0478",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "11493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TC Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean M Deming, OT
• Isabel Demo, OTD, OTR/L
• Samuel M Denney
• Abigail Dennis, OTR/L
• Dental Specialists of Minnesota, PLLC (The Dental Specialists)
• Timothy Sherman Depaul
• Cynthia K Devries, PT
• Maggie Lee Dewitz, DPT
• Ashley Deyoung
• Anaeba Diacogiannis

• Orthodontics and Dentofacial Orthopedics Dentistry in Burnsville, MN
• Providers in Burnsville, 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 Oct 13, 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.