NPIMap

Organization Active NPI

Family Oral Surgery Specialists PLC

Doing business as Metro Dentalcare Specialty Center Richfield - Oral Surgery

  • Oral and Maxillofacial Pathology Dentistry
  • Richfield, MN
National Provider Identifier
1598865651
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
FAMILY ORAL SURGERY SPECIALISTS PLC
Doing business as
Metro Dentalcare Specialty Center Richfield - Oral Surgery
Practice address
6601 Lyndale Ave S Ste 230
Richfield, MN 55423-2479
Phone
(612) 861-9123
NPI assigned
Sep 25, 2006
Organization subpart
Yes
Parent organization
FAMILY ORAL SURGERY SPECIALISTS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X Primary

Addresses

Primary practice location

6601 Lyndale Ave S Ste 230
Richfield, MN 55423-2479

Mailing address

6601 Lyndale Ave S Ste 230
Richfield, MN 55423-2479

Other names 1

  • Metro Dentalcare Specialty Center Richfield - Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Oral Surgery Specialists PLC5 organizations share this tax ID, including this one
Part of
Family Oral Surgery Specialists PLC

Other organizations with this tax ID 4

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

Locations

6601 Lyndale Ave S
Ste 220
Richfield, MN 55423
Phone (612) 823-8001

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1598865651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S STE 230",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S STE 230",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232479",
            "telephone_number": "612-861-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORAL SURGERY SPECIALISTS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY ORAL SURGERY SPECIALISTS PLC",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-08-10",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dentalcare Specialty Center Richfield - Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.