Active NPI
C.a.R.E. Clinic
- Dental Clinic/Center
- Red Wing, MN
National Provider Identifier
1679136261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- C.A.R.E. CLINIC
- Practice address
- 906 College Ave
Red Wing, MN 55066-2459 - Phone
- (651) 388-1022
- Fax
- (651) 388-1054
- NPI assigned
- Apr 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Malyon, RN
- Title
- President
- Phone
- (651) 388-1022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
906 College Ave
Red Wing, MN 55066-2459
Mailing address
906 College Ave
Red Wing, MN 55066-2459
Phone (651) 388-1022
Other names 1
- CARE Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Care Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Psychologist
- Red Wing, MN
- NPI 1427833821
-
- General Practice Physician
- Red Wing, MN
- NPI 1811772213
Locations
906 College Ave
Red Wing, MN 55066
Phone (651) 385-3410
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Psychologist
- Red Wing, MN
- NPI 1427833821
-
- General Practice Physician
- Red Wing, MN
- NPI 1811772213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555545600000",
"number": "1679136261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 COLLEGE AVE",
"city": "RED WING",
"state": "MN",
"postal_code": "550662459",
"telephone_number": "651-388-1022",
"fax_number": "651-388-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 COLLEGE AVE",
"city": "RED WING",
"state": "MN",
"postal_code": "550662459",
"telephone_number": "651-388-1022",
"fax_number": "651-388-1054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C.A.R.E. CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2019-04-18",
"status": "A",
"authorized_official_last_name": "MALYON",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-388-1022",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CARE Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Red Wing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.