Uptown Dental Acquisition Company

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UPTOWN DENTAL ACQUISITION COMPANY

Practice address

1406 W Lake St
Suite 100
Minneapolis, MN 55408-2653

Phone

(612) 827-3736

Fax

(612) 821-9626

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Tamara Ferrero

Title

Office Manager

Phone

(612) 827-3736

Specialties & licenses 1

Addresses

Other names 1

• Uptown Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly K Koehnen, D.D.S.

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1285639815
  NPD (past)
• Juliana Mirodone, D.M.D.

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1396700787
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659458974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W LAKE ST",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082653",
            "telephone_number": "612-827-3736",
            "fax_number": "612-821-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W LAKE ST",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082653",
            "telephone_number": "612-827-3736",
            "fax_number": "612-821-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DENTAL ACQUISITION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRERO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-827-3736"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse William Upton, PHARMD
• Uptown Behavioral Health LLC
• Uptown Center for Psychotherapy LTD
• Uptown Chiropractic, LLC
• Uptown Counseling P a
• Uptown Dermatology & Skin Spa, P.a.
• Uptown Natural Care Center, P.a.
• Uptown Pharmacy Inc
• Uptown Psychology Group
• Uptown Smile LLC

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.