Organization Active NPI

Giebenhain Dental Associates PA

  • Dentist
  • Golden Valley, MN
National Provider Identifier
1619938057
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8827 Issued in MN
Legal business name
GIEBENHAIN DENTAL ASSOCIATES PA
Practice address
5851 Duluth Street
Suite #103
Golden Valley, MN 55422
Phone
(763) 545-0330
Fax
(763) 277-2096
NPI assigned
Mar 28, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. John Nicholas Giebenhain Jr., DDSNPI 1619142197
Title
Pres
Phone
(763) 545-0330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D8827 MN Primary

Addresses

Primary practice location

5851 Duluth Street
Suite #103
Golden Valley, MN 55422

Mailing address

5851 Duluth Street
Suite #103
Golden Valley, MN 55422
Phone (763) 545-0330

National Provider Directory

National Provider Directory

Locations

5851 Duluth St
Ste 103
Golden Valley, MN 55422
Phone (763) 454-0330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1619938057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH STREET",
            "address_2": "SUITE #103",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-545-0330",
            "fax_number": "763-277-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH STREET",
            "address_2": "SUITE #103",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-545-0330",
            "fax_number": "763-277-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIEBENHAIN DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "GIEBENHAIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "763-545-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.