Shoreview Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12481 Issued in MN

Legal business name

SHOREVIEW DENTAL ASSOCIATES

Doing business as

Natural Smiles Dental Care

Practice address

4700 Lexington Avenue N
Suite D
Shoreview, MN 55126

Phone

(651) 483-9800

Fax

(651) 483-5264

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Madelyn Pearson, D.D.S

Title

Dentist/Co-Owner

Phone

(651) 483-9800

Specialties & licenses 1

Addresses

Other names 1

• Natural Smiles Dental Care Doing business as

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1679843619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVENUE N",
            "address_2": "SUITE D",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "651-483-9800",
            "fax_number": "651-483-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVENUE N",
            "address_2": "SUITE D",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "651-483-9800",
            "fax_number": "651-483-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREVIEW DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "DENTIST/CO-OWNER",
        "authorized_official_telephone_number": "651-483-9800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "12481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Stein McNamara Ed D Psychology Inc
• Ilyas Hashim Sheikh
• Sheila Conlin Ma, LP LMFT
• Kari Sherburne, CCC-SLP
• Donald Shope Jr., LADC, CAP
• Shoreview Mental Health Center, LLC
• Shoreview Senior Living LLC
• Shoreview Spine and Sport Family Chiropractic, LLC
• Vanessa Ann Shuck, MSW, LGSW
• Nathanael Paul Shull

• General Practice Dentistry in Shoreview, MN
• Providers in Shoreview, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.