Individual provider Active NPI

Thomas Ford Everett, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burnsville, MN
National Provider Identifier
1730217191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S15 Issued in MN
Practice address
Family Orthodontic Specialists
14344 Burnhaven Dr
Burnsville, MN 55306-5306
Phone
(952) 435-6213
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X S15 MN Primary

Addresses

Primary practice location

Family Orthodontic Specialists
14344 Burnhaven Dr
Burnsville, MN 55306-5306

Mailing address

Family Orthodontics Specialists
6601 Lyndale Ave S #220
Richfield, MN 55423-5423
Phone (612) 861-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002435 MN Order and Referring Only - DentistPractitioner - Dentist 8022310689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S15MNMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eversmiles, PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Bites Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 10, 2025 Accepting new patients
Eversmiles, PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

901 Church St
Evanston, IL 60201
Phone (224) 904-1380

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730217191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY ORTHODONTICS SPECIALISTS",
            "address_2": "6601 LYNDALE AVE S #220",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554235423",
            "telephone_number": "612-861-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAMILY ORTHODONTIC SPECIALISTS",
            "address_2": "14344 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065306",
            "telephone_number": "952-435-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "THOMAS",
        "middle_name": "FORD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "S15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.