Organization Active NPI

Star Dental

  • General Practice Dentistry
  • Inver Grove Heights, MN
National Provider Identifier
1588049480
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13059 Issued in MN
Legal business name
STAR DENTAL
Practice address
5972 Cahill Ave Ste 104
Inver Grove Heights, MN 55076-1521
Phone
(651) 455-0068
Fax
(651) 455-5133
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Aroone Vang, DDS
Title
Owner
Phone
(612) 308-8051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D13059 MN Primary

Addresses

Primary practice location

5972 Cahill Ave Ste 104
Inver Grove Heights, MN 55076-1521

Mailing address

5972 Cahill Ave Ste 104
Inver Grove Heights, MN 55076-1521
Phone (651) 455-0068

National Provider Directory

National Provider Directory

Locations

5972 Cahill Ave
Ste 104
Inver Grove Heights, MN 55076
Phone (651) 455-0068

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": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1588049480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 CAHILL AVE STE 104",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761521",
            "telephone_number": "651-455-0068",
            "fax_number": "651-455-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5972 CAHILL AVE STE 104",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761521",
            "telephone_number": "651-455-0068",
            "fax_number": "651-455-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "AROONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-308-8051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.