Cosmopolitan Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D10874 Issued in MN

Legal business name

COSMOPOLITAN ORTHODONTICS LLC

Practice address

17757 Juniper Path
Lakeville, MN 55044-9482

Phone

(951) 469-3333

Fax

(951) 469-4997

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Eisenhuth, DDS, MS

Title

Physician / Owner

Phone

(952) 469-3333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eric David Moe, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Apple Valley, MN
  • NPI 1336819267
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1588899199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SHERMAN CT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215012",
            "telephone_number": "651-406-8100",
            "fax_number": "651-406-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17757 JUNIPER PATH",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449482",
            "telephone_number": "951-469-3333",
            "fax_number": "951-469-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "EISENHUTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "952-469-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D10874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Collins, RN
• Community Service Partners
• Michelle Lynn Connery-Larscheid, LPN
• Erin Bridget Connors
• Rhonda Lynn Cornell, DNP, APRN, CNP
• Karlie Cottier
• Cory Dean Couillard, DC, ATC
• Craig Alan Couillard, DC
• Country Services Inc
• Megan Cox, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.