Organization Active NPI

Richard C. Render, D.D.S., P.a.

  • Dentist
  • Bloomington, MN
National Provider Identifier
1548430101
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7242 Issued in MN
Legal business name
RICHARD C. RENDER, D.D.S., P.A.
Practice address
8900 Penn Ave S
Suite 307
Bloomington, MN 55431-2068
Phone
(952) 884-7706
Fax
(952) 881-6006
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Richard Render, DDS
Title
Owner
Phone
(952) 884-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7242 MN Primary

Addresses

Primary practice location

8900 Penn Ave S
Suite 307
Bloomington, MN 55431-2068

Mailing address

8900 Penn Ave S
Suite 307
Bloomington, MN 55431-2068
Phone (952) 884-7706

National Provider Directory

National Provider Directory

Locations

8900 Penn Ave S
Ste 307
Bloomington, MN 55431
Phone (952) 884-7706

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1548430101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE S",
            "address_2": "SUITE 307",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312068",
            "telephone_number": "952-884-7706",
            "fax_number": "952-881-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE S",
            "address_2": "SUITE 307",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312068",
            "telephone_number": "952-884-7706",
            "fax_number": "952-881-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. RENDER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "RENDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-884-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "7242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.