NPIMap

Organization Active NPI

Kuipers Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Red Wing, MN
National Provider Identifier
1700934882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7434 Issued in MN
Legal business name
KUIPERS ORTHODONTICS
Practice address
615 W 4TH St
Red Wing, MN 55066-2413
Phone
(651) 388-8851
Fax
(651) 388-5572
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peter W Kuipers, DDS PHD
Title
Owner
Phone
(651) 388-8851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 7434 MN Primary

Addresses

Primary practice location

615 W 4TH St
Red Wing, MN 55066-2413

Mailing address

615 W 4TH St
Red Wing, MN 55066-2413
Phone (651) 388-8851

National Provider Directory

National Provider Directory
Tax ID family
Kuipers Orthodontics3 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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700934882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 4TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662413",
            "telephone_number": "651-388-8851",
            "fax_number": "651-388-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 4TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662413",
            "telephone_number": "651-388-8851",
            "fax_number": "651-388-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUIPERS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUIPERS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-388-8851",
        "authorized_official_credential": "DDS PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.