Endodontic Professionals PA St Cloud Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

8575456 Issued in MN

Legal business name

ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS

Practice address

1555 Northway Drive
Suite 210
St Cloud, MN 56303

Phone

(320) 259-5078

Fax

(320) 259-1484

NPI assigned

Aug 21, 2007

Organization subpart

Yes

Parent organization

ENDODONTIC PROFESSIONALS PAAs reported in NPPES

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

Authorized official

Name

Thomas A Karn, DMD

Title

Vice President

Phone

(320) 259-5078

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1487847752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DRIVE",
            "address_2": "SUITE 210",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-259-5078",
            "fax_number": "320-259-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DRIVE",
            "address_2": "SUITE 210",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-259-5078",
            "fax_number": "320-259-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDODONTIC PROFESSIONALS PA",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KARN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "320-259-5078",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "8575456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Eric Emerson, MD
• Melissa Marie Emery, LADC
• Emily S Schwartz
• Empathic Home Health Care LLC
• Chad Emslander
• Sarah Elizabeth Enga, PT
• Carrie Ann Engdahl, PHARM.D.
• Ryan Michael Engdahl, PHD, LP
• Amy Lynne Engelhart, PHARM.D.
• Brian Engelman, PHARMD

• Endodontics in St Cloud, MN
• Providers in St Cloud, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.