901 Family Dentistry P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

D9485 Issued in MN

Legal business name

901 FAMILY DENTISTRY P.A.

Practice address

901 23Rd Ave NE
Minneapolis, MN 55418-3609

Phone

(612) 789-9444

Fax

(612) 789-2431

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Paul Vincent, D.D.S.

Title

Owner

Phone

(612) 789-9444

Specialties & licenses 1

Addresses

Other names 1

• 901 Family Dentistry Inc. Other name

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1689847519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 23RD AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183609",
            "telephone_number": "612-789-9444",
            "fax_number": "612-789-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 23RD AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183609",
            "telephone_number": "612-789-9444",
            "fax_number": "612-789-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "901 FAMILY DENTISTRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-789-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "901 Family Dentistry Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.