NPIMap

Organization Active NPI

Affiliated Pediatric Dentists PA

Doing business as Dentistry for Children & Adolescents

  • Pediatric Dentistry
  • Burnsville, MN
National Provider Identifier
1548426422
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AFFILIATED PEDIATRIC DENTISTS PA
Doing business as
Dentistry for Children & Adolescents
Practice address
14050 Nicollet Avenue South
Suite 100
Burnsville, MN 55337-5737
Phone
(952) 435-4102
Fax
(952) 435-8925
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Mark Edward Greenwood, D.D.S.
Title
Treasurer
Phone
(952) 831-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

14050 Nicollet Avenue South
Suite 100
Burnsville, MN 55337-5737

Mailing address

7373 France Avenue South
Suite 402
Edina, MN 55435-4558
Phone (952) 831-4400

Other names 1

  • DENTISTRY FOR CHILDREN & ADOLESCENTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affiliated Pediatric Dentists PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14050 Nicollet Ave
Ste 100
Burnsville, MN 55337
Phone (952) 435-4102

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1548426422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVENUE SOUTH",
            "address_2": "SUITE 402",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354558",
            "telephone_number": "952-831-4400",
            "fax_number": "952-893-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 NICOLLET AVENUE SOUTH",
            "address_2": "SUITE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375737",
            "telephone_number": "952-435-4102",
            "fax_number": "952-435-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PEDIATRIC DENTISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "952-831-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTRY FOR CHILDREN & ADOLESCENTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.