Organization Active NPI

Elm Creek Dental

  • Dental Clinic/Center
  • Maple Grove, MN
National Provider Identifier
1639020597
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELM CREEK DENTAL
Practice address
7870 Main St N
Maple Grove, MN 55369-7055
Phone
(763) 416-0606
Fax
(763) 416-9963
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Dr. Richard Carter, DDSNPI 1609865567
Title
Dentist
Phone
(763) 416-0606

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7870 Main St N
Maple Grove, MN 55369-7055

Mailing address

7870 Main St N
Maple Grove, MN 55369-7055
Phone (763) 416-0606

National Provider Directory

National Provider Directory

Locations

7870 Main St N
Maple Grove, MN 55369
Phone (763) 416-0606

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": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1639020597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 MAIN ST N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697055",
            "telephone_number": "763-416-0606",
            "fax_number": "763-416-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 MAIN ST N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697055",
            "telephone_number": "763-416-0606",
            "fax_number": "763-416-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-416-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.