NPIMap

Organization Active NPI

Orthodontic Care Specialists, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Paul, MN
National Provider Identifier
1669817557
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1223X0400X Issued in MN
Legal business name
ORTHODONTIC CARE SPECIALISTS, PLLC
Practice address
1375 Saint Anthony Ave
Saint Paul, MN 55104-4005
Phone
(651) 286-8153
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Ms. Karie Therese Graden
Title
Operations Manager
Phone
(952) 432-1103

Specialties & licenses 1

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

Addresses

Primary practice location

1375 Saint Anthony Ave
Saint Paul, MN 55104-4005

Mailing address

14605 Glazier Ave
Apple Valley, MN 55124-7545

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

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1669817557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 GLAZIER AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 SAINT ANTHONY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044005",
            "telephone_number": "651-286-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC CARE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "GRADEN",
        "authorized_official_first_name": "KARIE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-432-1103",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "1223X0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.