Active NPI
Brent Cataldo DDS PA
- Dentist
- Plymouth, MN
National Provider Identifier
1508925017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11411
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent Alan Cataldo, DDS
- Title
- Dentist
- Phone
- (763) 420-1335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
1025 Evergreen Ln N
Plymouth, MN 55441
Phone (763) 545-8850
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.