Active NPI
Emily Yajaira Padilla, DDS
- Dentist
- White Bear Lake, MN
National Provider Identifier
1538056965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15283
- Practice address
- 1970 Buerkle Rd
White Bear Lake, MN 55110-1300 - Phone
- (651) 477-8169
- NPI assigned
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D15283 | MN | Primary |
Addresses
Primary practice location
1970 Buerkle Rd
White Bear Lake, MN 55110-1300
Mailing address
760 Raymond Ave Apt 337
Saint Paul, MN 55114-1736
Phone (651) 403-1148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D15283 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1538056965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 RAYMOND AVE APT 337",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141736",
"telephone_number": "651-403-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 BUERKLE RD",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551101300",
"telephone_number": "651-477-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "EMILY",
"middle_name": "YAJAIRA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.