NPIMap

Organization Active NPI

Orthodontic Care Specialists, PLLC

Doing business as Orthodontic Care Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakeville, MN
National Provider Identifier
1649692864
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTIC CARE SPECIALISTS, PLLC
Doing business as
Orthodontic Care Specialists
Practice address
20143 Idealic Ave.
Lakeville, MN 55044
Phone
(952) 432-2682
NPI assigned
Jan 7, 2014
Organization subpart
Yes
Parent organization
NORTHLAND DENTAL PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Mark Roger Kauppi, DDSNPI 1811041429
Title
Senior Doctor Leader
Phone
(952) 432-1103

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

20143 Idealic Ave.
Lakeville, MN 55044

Mailing address

14605 Glazier Ave. S.
Apple Valley, MN 55124
Phone (952) 432-1103

Other names 1

  • Orthodontic Care Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Care Specialists5 organizations share this tax ID, including this one
Part of
Northland Dental Partners

Other organizations with this tax ID 4

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

Locations

20143 Idealic Ave
Lakeville, MN 55044
Phone (952) 303-7012

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": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1649692864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 GLAZIER AVE. S.",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "952-432-1103",
            "fax_number": "952-891-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20143 IDEALIC AVE.",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-432-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC CARE SPECIALISTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHLAND DENTAL PARTNERS",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "KAUPPI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "SENIOR DOCTOR LEADER",
        "authorized_official_telephone_number": "952-432-1103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "Orthodontic Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.