Chanhassen Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7951 Issued in MN

Legal business name

CHANHASSEN DENTAL

Practice address

480 W 78TH St
Suite #116
Chanhassen, MN 55317-4527

Phone

(952) 934-3383

Fax

(952) 934-6668

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joleen Kay Hall

Title

Business Manager

Phone

(952) 934-3383

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Dean Lembke, DDS

  • General Practice Dentistry
  • Chanhassen, MN
  • NPI 1871545970
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538112180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170189",
            "telephone_number": "952-934-3383",
            "fax_number": "952-934-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W 78TH ST",
            "address_2": "SUITE #116",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174527",
            "telephone_number": "952-934-3383",
            "fax_number": "952-934-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANHASSEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOLEEN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "952-934-3383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10519",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Cain, NP-C
• Laurie Anne Camilli, LICSW
• Steven J Carney, MD
• Joy L Chall
• Emily Claire Chandler, LICSW
• Chanhassen Endodontics
• Chanhassen Family Dentistry PA
• Chanhassen Smiles Dentistry, PC (Chanhassen Smiles Dentistry)
• John Jacob Chartier, DDS
• Tala Marie Ciatti, LPC, NCC

• General Practice Dentistry in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.