NPIMap

Organization Active NPI

Brent Cataldo DDS PA

  • Dentist
  • Plymouth, MN
National Provider Identifier
1508925017
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11411 Issued in MN
Legal business name
BRENT CATALDO DDS PA
Practice address
1025 Evergreen LN N
Plymouth, MN 55441-4800
Phone
(763) 544-7856
NPI assigned
Dec 8, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Brent Alan Cataldo, DDSNPI 1295923423
Title
Dentist
Phone
(763) 420-1335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D11411 MN Primary

Addresses

Primary practice location

1025 Evergreen LN N
Plymouth, MN 55441-4800

Mailing address

7375 Inland LN N
Maple Grove, MN 55311-3958
Phone (763) 420-1335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1508925017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 INLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113958",
            "telephone_number": "763-420-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EVERGREEN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414800",
            "telephone_number": "763-544-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT CATALDO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "CATALDO",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-420-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.