NPIMap

Organization Active NPI

Ridges Family Dental PLLC

  • Dentist
  • Burnsville, MN
National Provider Identifier
1629521893
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11535 Issued in MN
Legal business name
RIDGES FAMILY DENTAL PLLC
Practice address
50 McAndrews Rd E
Burnsville, MN 55337-5718
Phone
(952) 892-5050
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Dr. Todd Alan Porter, DDSNPI 1720308794
Title
DDS, Owner
Phone
(952) 892-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D11535 MN Primary

Addresses

Primary practice location

50 McAndrews Rd E
Burnsville, MN 55337-5718

Mailing address

50 McAndrews Rd E
Burnsville, MN 55337-5718
Phone (952) 892-5050

National Provider Directory

National Provider Directory

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": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1629521893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MCANDREWS RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375718",
            "telephone_number": "952-892-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MCANDREWS RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375718",
            "telephone_number": "952-892-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGES FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DDS, OWNER",
        "authorized_official_telephone_number": "952-892-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.