Organization Active NPI

C.a.R.E. Clinic

  • Dental Clinic/Center
  • Red Wing, MN
National Provider Identifier
1679136261
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 18, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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.

Verify at the official NPI Registry.