NPIMap

Organization Active NPI

FM Dental

  • Dental Clinic/Center
  • Maple Grove, MN
National Provider Identifier
1669648747
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D11927 Issued in MN
Legal business name
FM DENTAL
Practice address
9550 Upland LN N
Suite 210
Maple Grove, MN 55369-4481
Phone
(763) 416-0011
Fax
(763) 416-5006
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Ryan Thomas Francis, DDS
Title
Dentist/Business Co-Owner
Phone
(763) 416-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D11927 MN Primary

Addresses

Primary practice location

9550 Upland LN N
Suite 210
Maple Grove, MN 55369-4481

Mailing address

9550 Upland LN N
Suite 210
Maple Grove, MN 55369-4481
Phone (763) 416-0011

Other names 1

  • Grove Health Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9550 Upland Ln N
Ste 210
Maple Grove, MN 55369
Phone (763) 416-0011

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1669648747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 UPLAND LN N",
            "address_2": "SUITE 210",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694481",
            "telephone_number": "763-416-0011",
            "fax_number": "763-416-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 UPLAND LN N",
            "address_2": "SUITE 210",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694481",
            "telephone_number": "763-416-0011",
            "fax_number": "763-416-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST/BUSINESS CO-OWNER",
        "authorized_official_telephone_number": "763-416-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Health Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.