Endodontic Professionals PA - St Anthony Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ENDODONTIC PROFESSIONALS PA - ST ANTHONY ENDODONTICS

Practice address

3905 Silver Lake Rd NE
Minneapolis, MN 55421-4352

Phone

(763) 559-0859

Fax

(763) 559-4356

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ENDODONTIC PROFESSIONALS PAAs reported in NPPES

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

Authorized official

Name

Dr. Mark R Jensen, DDSNPI 1013082882

Title

President

Phone

(763) 559-0859

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark Richard Jensen, D.D.S.

  • Endodontics
  • Plymouth, MN
  • NPI 1013082882
  Authorized official Same address or phone
• Matthew Del Mastro, DMD

  • Endodontics
  • Plymouth, MN
  • NPI 1659607653
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1538577341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 HIGHWAY 169 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412413",
            "telephone_number": "763-559-0859",
            "fax_number": "763-559-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 SILVER LAKE RD NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214352",
            "telephone_number": "763-559-0859",
            "fax_number": "763-559-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC PROFESSIONALS PA - ST ANTHONY ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDODONTIC PROFESSIONALS PA",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-559-0859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Faye Ende, MD
• Rebecca Dianne Enders, MA, LPCC
• Endle
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• Endocrine & Diabetes Associates, P.a.
• Julia Endres-Spray, RN PHN MA
• Kimberly Jean Endres, MSW, LICSW
• Awele Eneanya, LPCC
• Joy Eneogwe
• Emily Elizabeth Vrchota Eng, MA

• Endodontics in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.