Organization Active NPI

Minnesota Dental Center

  • Dentist
  • Minnetonka, MN
National Provider Identifier
1720329535
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12130 Issued in MN
Legal business name
MINNESOTA DENTAL CENTER
Practice address
17601 Highway 7
#200
Minnetonka, MN 55345-4104
Phone
(651) 738-1880
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Dr. Holger P Meiser, D.D.S.NPI 1013036995
Title
Owner
Phone
(651) 208-9389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D12130 MN Primary

Addresses

Primary practice location

17601 Highway 7
#200
Minnetonka, MN 55345-4104

Mailing address

17601 Highway 7
#200
Minnetonka, MN 55345-4104
Phone (651) 738-1880

Other identifiers 1

IdentifierTypeStateIssuer
1013036995OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

17601 Highway 7
Ste 200
Minnetonka, MN 55345
Phone (651) 738-1880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1720329535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 HIGHWAY 7",
            "address_2": "#200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454104",
            "telephone_number": "651-738-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 HIGHWAY 7",
            "address_2": "#200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454104",
            "telephone_number": "651-738-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MEISER",
        "authorized_official_first_name": "HOLGER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-208-9389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013036995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.