Organization Active NPI

Family Endodontic Specialists PLC

Doing business as Metro Dentalcare Richfield

  • Endodontics
  • Richfield, MN
National Provider Identifier
1679673867
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
FAMILY ENDODONTIC SPECIALISTS PLC
Doing business as
Metro Dentalcare Richfield
Practice address
6601 Lyndale Ave S Ste 220a
Richfield, MN 55423-2477
Phone
(612) 866-1234
NPI assigned
Sep 25, 2006
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY ENDODONTIC SPECIALISTS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

6601 Lyndale Ave S Ste 220a
Richfield, MN 55423-2477

Mailing address

6601 Lyndale Ave S Ste 220a
Richfield, MN 55423-2477
Phone (612) 866-1234

Other names 1

  • Metro Dentalcare Richfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Endodontic Specialists PLC5 organizations share this tax ID, including this one
Part of
Family Endodontic Specialists PLC

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1679673867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S STE 220A",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232477",
            "telephone_number": "612-866-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S STE 220A",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232477",
            "telephone_number": "612-866-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ENDODONTIC SPECIALISTS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY ENDODONTIC SPECIALISTS PLC",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dentalcare Richfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2022; 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.