Organization Active NPI

Stephen G Sinykin DDS PA

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1619089737
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MN6262 Issued in MN
Legal business name
STEPHEN G SINYKIN DDS PA
Practice address
715 Florida Ave So.
#206
Minneapolis, MN 55426
Phone
(763) 541-6000
Fax
(763) 541-1076
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen G Sinykin
Title
DDS
Phone
(763) 541-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MN6262 MN Primary

Addresses

Primary practice location

715 Florida Ave So.
#206
Minneapolis, MN 55426

Mailing address

715 Florida Ave So.
#206
Minneapolis, MN 55426
Phone (763) 541-6000

Other names 1

  • Doorstep Dental Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doorstep Dental Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

715 Florida Ave S
Ste 206
Minneapolis, MN 55426
Phone (612) 226-8840

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619089737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FLORIDA AVE SO.",
            "address_2": "#206",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "763-541-6000",
            "fax_number": "763-541-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FLORIDA AVE SO.",
            "address_2": "#206",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "763-541-6000",
            "fax_number": "763-541-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G SINYKIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINYKIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "763-541-6000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "MN6262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doorstep Dental Service",
            "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 Aug 22, 2020; 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.