NPIMap

Organization Active NPI

Dental Care Associates of Buffalo PA

  • Dental Clinic/Center
  • Buffalo, MN
National Provider Identifier
1477564219
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL CARE ASSOCIATES OF BUFFALO PA
Practice address
306 Brighton Ave S
Buffalo, MN 55313-2318
Phone
(763) 682-2572
Fax
(763) 682-2700
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Dr. Lisa Marie Spier, DDSNPI 1629089479
Title
Owner
Phone
(763) 682-2572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

306 Brighton Ave S
Buffalo, MN 55313-2318

Mailing address

306 Brighton Ave S
Buffalo, MN 55313-2318
Phone (763) 360-9972

National Provider Directory

National Provider Directory

Locations

306 Brighton Ave S
Buffalo, MN 55313
Phone (763) 682-2572

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1477564219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BRIGHTON AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132318",
            "telephone_number": "763-360-9972",
            "fax_number": "763-682-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BRIGHTON AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132318",
            "telephone_number": "763-682-2572",
            "fax_number": "763-682-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE ASSOCIATES OF BUFFALO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "SPIER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-682-2572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

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