Organization Active NPI

Stillwater Family Dental

  • Dental Clinic/Center
  • Oak Park Heights, MN
National Provider Identifier
1518574532
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STILLWATER FAMILY DENTAL
Practice address
13481 60TH St N Ste 100
Oak Park Heights, MN 55082-1089
Phone
(651) 351-0890
Fax
(651) 351-1922
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Oksana Salnikova
Title
Office Manager
Phone
(651) 351-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13481 60TH St N Ste 100
Oak Park Heights, MN 55082-1089

Mailing address

13481 60TH St N Ste 100
Oak Park Heights, MN 55082-1089
Phone (651) 351-0890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address form@stillwaterfamilydental.com

National Provider Directory

National Provider Directory

Locations

13481 60th St N
Ste 100
Oak Park Heights, MN 55082
Phone (651) 351-0890

Practitioners & affiliated clinicians

Practitioners 2

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1518574532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N STE 100",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550821089",
            "telephone_number": "651-351-0890",
            "fax_number": "651-351-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N STE 100",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550821089",
            "telephone_number": "651-351-0890",
            "fax_number": "651-351-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SALNIKOVA",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-351-0890"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "form@stillwaterfamilydental.com",
            "affiliation": "N",
            "address_1": "13481 60th St N Ste 100",
            "city": "Oak Park Heights",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550821089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.