The Dentist'S House of Edina

Primary specialty

DentistTaxonomy code 122300000X

License

11500 Issued in MN

Legal business name

THE DENTIST'S HOUSE OF EDINA

Practice address

3930 Sunnyside Rd
Edina, MN 55424-1211

Phone

(952) 929-9131

Fax

(952) 929-3142

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Zingale, DDS

Title

President, VP, Owner

Phone

(952) 929-9131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1689028037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 SUNNYSIDE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241211",
            "telephone_number": "952-929-9131",
            "fax_number": "952-929-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SUNNYSIDE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241211",
            "telephone_number": "952-929-9131",
            "fax_number": "952-929-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTIST'S HOUSE OF EDINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ZINGALE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT, VP, OWNER",
        "authorized_official_telephone_number": "952-929-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "11500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.