Ev Dental P.a

Primary specialty

DentistTaxonomy code 122300000X

License

D9630 Issued in MN

Legal business name

EV DENTAL P.A

Practice address

12401 Nicollet Ave
Burnsville, MN 55337-4859

Phone

(952) 890-4255

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John D Mittelsteadt, DDS

Title

Owner

Phone

(651) 681-9044

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Timothy John Ake, D.D.S.

  • Dentist
  • Burnsville, MN
  • NPI 1063470094
  NPD (past)

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1518407014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 NICOLLET AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374859",
            "telephone_number": "952-890-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 NICOLLET AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374859",
            "telephone_number": "952-890-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EV DENTAL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "MITTELSTEADT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-681-9044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kealie Espindabanick
• Armantina Malvarez Espinosa, M.D.
• Sagal Essa
• Zakia S Essa
• Jeffrey David Essen, ND
• Alexandria Evans
• Thomas Ford Everett, DDS
• Alyssa Rose Everson, PA-C
• Lenore I Everson, MD
• Eyewear Specialists Inc

• Dentist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.