Northstar Orthodontics, Inc.

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

DL109 Issued in MN

Legal business name

NORTHSTAR ORTHODONTICS, INC.

Practice address

218 Industrial Park Rd
Park Rapids, MN 56470-3508

Phone

(218) 732-9503

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia J. Kelly

Title

Ceo/Cfo

Phone

(218) 732-9503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1669828539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 INDUSTRIAL PARK RD",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564703508",
            "telephone_number": "218-732-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 INDUSTRIAL PARK RD",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564703508",
            "telephone_number": "218-732-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "218-732-9503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "MN",
            "license": "DL109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Noffze, LPCC
• Brenda J Norby, P.A-C
• North Country Medicine LLC
• North Country Psychiatry
• Northern Lights Psychiatry LLC
• Northwind Holistic Psychiatry PLLC
• Shane D Nygard, MD
• Oakdale Health Enterprises Inc (Oakdale Enterprises North Ambulance Park Rapids)
• Paula Idalia Ocampo
• Todd M Officer, MD

• Dental Laboratory in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Dental Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.