Metropolitan Periodontists

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

METROPOLITAN PERIODONTISTS

Practice address

825 Nicollet Mall
Ste. 210
Minneapolis, MN 55402-2618

Phone

(612) 332-0869

Fax

(612) 332-2891

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mark Wilson, D.D.S.

Title

Dentist

Phone

(612) 332-0869

Specialties & licenses 1

Addresses

Tax ID family

Metropolitan Periodontists2 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.

• Metropolitan Periodontists, P.a.

  • Periodontics
  • Minneapolis, MN
  • NPI 1982775235
  NPD tax ID

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1669199741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "STE. 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022618",
            "telephone_number": "612-332-0869",
            "fax_number": "612-332-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "STE. 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022618",
            "telephone_number": "612-332-0869",
            "fax_number": "612-332-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PERIODONTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "612-332-0869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Healthcare Services, LLC.
• Metropolitan Human Resources
• Metropolitan Internists, PA
• Metropolitan Orthotic Laboratory, Inc
• Metropolitan Orthotic Laboratory, Inc.
• Metropolitan Periodontists, P.a.
• Metropolitan Surgical Associates, P.a.
• Stephanie Metropulos, COMT
• Metta Birth and Family Services
• Andrew Metz, MD

• Periodontics in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.