Organization Active NPI

Arcade Dental Associates PLLP

  • General Practice Dentistry
  • St Paul, MN
National Provider Identifier
1528129293
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARCADE DENTAL ASSOCIATES PLLP
Practice address
1439 Arcade Street
St Paul, MN 55106
Phone
(651) 776-4766
Fax
(651) 776-6622
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Mary Kay Albertson, DDS
Title
Partner
Phone
(651) 776-4766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1439 Arcade Street
St Paul, MN 55106

Mailing address

1439 Arcade Street
St Paul, MN 55106
Phone (651) 776-4766

Other identifiers 1

IdentifierTypeStateIssuer
1055487OtherMNSTATE OF MINNESOTA TAX ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1528129293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 ARCADE STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-776-4766",
            "fax_number": "651-776-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 ARCADE STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-776-4766",
            "fax_number": "651-776-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADE DENTAL ASSOCIATES PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "651-776-4766",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MINNESOTA TAX ID",
            "identifier": "1055487",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

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