NPIMap

Organization Active NPI

Twin Cities Orthodontic Specialists

  • Health Maintenance Organization
  • Maple Grove, MN
National Provider Identifier
1720200108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
7060 Issued in MN
Legal business name
TWIN CITIES ORTHODONTIC SPECIALISTS
Practice address
7860 Main St
Maple Grove, MN 55369-7055
Phone
(763) 420-1030
Fax
(763) 420-5510
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Carolyn Johnson
Title
Office Manager
Phone
(763) 420-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 7060 MN Primary

Addresses

Primary practice location

7860 Main St
Maple Grove, MN 55369-7055

Mailing address

7860 Main St
Maple Grove, MN 55369-7055
Phone (763) 420-1030

National Provider Directory

National Provider Directory
Tax ID family
Orthognathic Services LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720200108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 MAIN ST",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697055",
            "telephone_number": "763-420-1030",
            "fax_number": "763-420-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 MAIN ST",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697055",
            "telephone_number": "763-420-1030",
            "fax_number": "763-420-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-420-1030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "7060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, 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.