NPIMap

Organization Active NPI

Robert J Maley DDS PA

Doing business as Dr. Bob Maley Family Dentistry

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1720465784
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10229 Issued in MN
Legal business name
ROBERT J MALEY DDS PA
Doing business as
Dr. Bob Maley Family Dentistry
Practice address
1150 Montreal Ave
Suite 104
Saint Paul, MN 55116-2390
Phone
(651) 224-0001
Fax
(651) 224-9958
NPI assigned
Apr 29, 2015
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Robert John Maley, DDSNPI 1336296409
Title
Ceo/President
Phone
(651) 224-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D10229 MN Primary

Addresses

Primary practice location

1150 Montreal Ave
Suite 104
Saint Paul, MN 55116-2390

Mailing address

1150 Montreal Avenue
Suite 104
Saint Paul, MN 55116
Phone (651) 224-0001

Other names 1

  • Dr. Bob Maley Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1150 Montreal Ave
Ste 104
Saint Paul, MN 55116
Phone (651) 224-0001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1720465784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVENUE",
            "address_2": "SUITE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-224-0001",
            "fax_number": "651-224-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVE",
            "address_2": "SUITE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162390",
            "telephone_number": "651-224-0001",
            "fax_number": "651-224-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J MALEY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "MALEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "651-224-0001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bob Maley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.