Organization Active NPI

Richfield Orthodontic Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richfield, MN
National Provider Identifier
1669655890
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7105 Issued in MN
Legal business name
RICHFIELD ORTHODONTIC ASSOCIATES
Practice address
1537 E 66TH St
Suite 100
Richfield, MN 55423-2663
Phone
(612) 866-3333
Fax
(612) 866-2845
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
William F. Liljemark, DDSNPI 1346345238
Title
Managing Partner
Phone
(612) 866-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 7105 MN Primary

Addresses

Primary practice location

1537 E 66TH St
Suite 100
Richfield, MN 55423-2663

Mailing address

1537 E 66TH St
Suite 100
Richfield, MN 55423-2663
Phone (612) 866-3333

National Provider Directory

National Provider Directory

Locations

1537 E 66th St
#100
Richfield, MN 55423
Phone (612) 866-3333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1669655890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 E 66TH ST",
            "address_2": "SUITE 100",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232663",
            "telephone_number": "612-866-3333",
            "fax_number": "612-866-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 E 66TH ST",
            "address_2": "SUITE 100",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232663",
            "telephone_number": "612-866-3333",
            "fax_number": "612-866-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHFIELD ORTHODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "LILJEMARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "612-866-3333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.