Organization Active NPI

Patrick J. Foy DDS,PA

Doing business as Riverside Dental

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1548690001
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9089 Issued in MN
Legal business name
PATRICK J. FOY DDS,PA
Doing business as
Riverside Dental
Practice address
606 24TH Ave S Ste 806
Minneapolis, MN 55454-1438
Phone
(612) 332-3561
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Jennifer Collette
Title
Office Administrator
Phone
(952) 938-2740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9089 MN Primary

Addresses

Primary practice location

606 24TH Ave S Ste 806
Minneapolis, MN 55454-1438

Mailing address

606 24TH Ave S Ste 806
Minneapolis, MN 55454-1438
Phone (612) 332-3561

Other names 1

  • Riverside Dental Doing business as

National Provider Directory

National Provider Directory

Locations

606 24th Ave S
Ste 806
Minneapolis, MN 55454
Phone (612) 332-3561

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1548690001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S STE 806",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541438",
            "telephone_number": "612-332-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S STE 806",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541438",
            "telephone_number": "612-332-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. FOY DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "952-938-2740"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.