NPIMap

Organization Active NPI

Minnesota Orthodontics and Dentofacial Orthopedics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edina, MN
National Provider Identifier
1649424904
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10890 Issued in MN
Legal business name
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Practice address
7149 France Ave S
Edina, MN 55435-4304
Phone
(651) 450-7273
NPI assigned
Nov 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Rebecca Craig
Title
Financial Coord
Phone
(651) 750-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 10890 MN Primary

Addresses

Primary practice location

7149 France Ave S
Edina, MN 55435-4304

Mailing address

7149 France Ave S
Edina, MN 55435-4304
Phone (651) 450-7273

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Orthodontics6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

7149 France Ave S
Edina, MN 55435

7373 France Ave S
Ste 412
Edina, MN 55435

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1649424904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7149 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354304",
            "telephone_number": "651-450-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7149 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354304",
            "telephone_number": "651-450-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FINANCIAL COORD",
        "authorized_official_telephone_number": "651-750-7273"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "10890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.