Organization Active NPI

Rizzo Dentistry PLLC

Doing business as Modern Day Dental

  • General Practice Dentistry
  • Eden Prairie, MN
National Provider Identifier
1508477050
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIZZO DENTISTRY PLLC
Doing business as
Modern Day Dental
Practice address
11995 Singletree LN Ste 130
Eden Prairie, MN 55344-5342
Phone
(952) 257-7255
NPI assigned
Aug 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dr. Sophia Rizzo, DDSNPI 1063889954
Title
Owner
Phone
(507) 269-2774

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11995 Singletree LN Ste 130
Eden Prairie, MN 55344-5342

Mailing address

11995 Singletree LN Ste 130
Eden Prairie, MN 55344-5342
Phone (952) 257-7255

Other names 1

  • Modern Day Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11995 Singletree Ln
Ste 130
Eden Prairie, MN 55344
Phone (507) 269-2774

Practitioners & affiliated clinicians

Practitioners 1

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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1508477050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 130",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445342",
            "telephone_number": "952-257-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 130",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445342",
            "telephone_number": "952-257-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZZO DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-269-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Day Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Day Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • 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.