NPIMap

Organization Active NPI

Family Orthodontic Specialists PLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richfield, MN
National Provider Identifier
1639815434
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FAMILY ORTHODONTIC SPECIALISTS PLC
Practice address
6602 Lyndale Ave S Ste 230a
Richfield, MN 55423
Phone
(612) 869-8834
NPI assigned
May 5, 2022
Organization subpart
Yes
Parent organization
FAMILY ORTHODONTIC SPECIALISTS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

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

Addresses

Primary practice location

6602 Lyndale Ave S Ste 230a
Richfield, MN 55423

Mailing address

6602 Lyndale Ave S Ste 230a
Richfield, MN 55423
Phone (612) 869-8834

Other names 1

  • Woodlake Orthodontics Richfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Orthodontic Specialists PLC10 organizations share this tax ID, including this one
Part of
Family Orthodontic Specialists PLC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1639815434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 LYNDALE AVE S STE 230A",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-869-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 LYNDALE AVE S STE 230A",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-869-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHODONTIC SPECIALISTS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY ORTHODONTIC SPECIALISTS PLC",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Orthodontics Richfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.