Nicollet Mall Dental Arts PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NICOLLET MALL DENTAL ARTS PLLC

Practice address

825 Nicollet Mall Ste 1737
Minneapolis, MN 55402-2704

Phone

(612) 332-1164

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Norah Hoverson, DDSNPI 1982097325

Title

President

Phone

(218) 791-5380

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Norah Hoverson, D.D.S.

  • Dentist
  • Minneapolis, MN
  • NPI 1982097325
  NPD Authorized official
• Keeley Flavin, MSDH, BSDH

  • Dental Hygienist
  • Minneapolis, MN
  • NPI 1396425021
  NPD
• David A. Uppgaard, DDS

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1073568267
  NPD (past)

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1528695178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 COLFAX AVE S APT E436",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084855",
            "telephone_number": "218-791-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1737",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022704",
            "telephone_number": "612-332-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLLET MALL DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "HOVERSON",
        "authorized_official_first_name": "NORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-791-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narysse Nicolet, MD
• Nicollet 38TH St Dental
• Nicollet Avenue Dental, PLLC
• Nicollet Chiropractic Center
• Nicollet Dental
• Nicollet Pharmacy LLC
• Nicollet Pharmacy LLC
• Nicollet Senior Center Inc
• Nicollet Vision Care Optometrists P.a.
• Nicollet Vision Care Optometrists P.a.

• Dental Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dental Clinic/Center in Minnesota

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