NPIMap

Organization Active NPI

Blue Ridge Dental Center PA

  • General Practice Dentistry
  • Maple Grove, MN
National Provider Identifier
1639337710
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLUE RIDGE DENTAL CENTER PA
Doing business as
Blue Ridge Dental Center PA
Practice address
13800 83Rd Way N Ste 100
Maple Grove, MN 55369-7016
Phone
(763) 424-2877
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
James Strampe, DDS
Title
President
Phone
(952) 938-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

13800 83Rd Way N Ste 100
Maple Grove, MN 55369-7016

Mailing address

13800 83Rd Way N Ste 100
Maple Grove, MN 55369-7016
Phone (763) 424-2877

Other names 1

  • Blue Ridge Dental Center PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Dental Center PA2 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

13800 83rd Way N
Ste 100
Maple Grove, MN 55369
Phone (763) 424-2877

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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1639337710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 83RD WAY N STE 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697016",
            "telephone_number": "763-424-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 83RD WAY N STE 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697016",
            "telephone_number": "763-424-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "STRAMPE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-938-8858",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Dental Center PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 27, 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.