Organization Active NPI

Rogers Minnesota Orthodontics PLLC

Doing business as Rogers Minnesota Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rogers, MN
National Provider Identifier
1619496700
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D13003 Issued in MN
Legal business name
ROGERS MINNESOTA ORTHODONTICS PLLC
Doing business as
Rogers Minnesota Orthodontics
Practice address
13690 Rogers Dr Ste 100
Rogers, MN 55374-4899
Phone
(651) 450-7273
NPI assigned
Sep 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Becky Craig, LDA
Title
Financial Coordinator
Phone
(651) 450-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D13003 MN Primary

Addresses

Primary practice location

13690 Rogers Dr Ste 100
Rogers, MN 55374-4899

Mailing address

13690 Rogers Dr Ste 100
Rogers, MN 55374-4899
Phone (651) 450-7273

Other names 1

  • Rogers Minnesota Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Minnesota Orthodontics

Locations

13690 Rogers Dr
Ste 100
Rogers, MN 55374
Phone (401) 258-7737

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619496700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 ROGERS DR STE 100",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744899",
            "telephone_number": "651-450-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 ROGERS DR STE 100",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744899",
            "telephone_number": "651-450-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS MINNESOTA ORTHODONTICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "651-450-7273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D13003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Minnesota Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.