NPIMap

Organization Active NPI

Brainerd Area Orthodontics, LLC

Doing business as Colby-Mueller Orthodontics

  • Dentist
  • Baxter, MN
National Provider Identifier
1730517954
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10906 Issued in MN
Legal business name
BRAINERD AREA ORTHODONTICS, LLC
Doing business as
Colby-Mueller Orthodontics
Practice address
13367 Isle Dr
Suite 2
Baxter, MN 56425-2221
Phone
(218) 838-2650
Fax
(218) 454-2672
NPI assigned
Oct 25, 2013
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Stephen William Colby, DDS, MS, PANPI 1659448066
Title
Owner
Phone
(218) 838-2650

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 10906 MN Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 13161 MN

Addresses

Primary practice location

13367 Isle Dr
Suite 2
Baxter, MN 56425-2221

Mailing address

13367 Isle Dr
Suite 2
Baxter, MN 56425-2221
Phone (218) 838-2650

Other names 1

  • Colby-Mueller Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

13367 Isle Dr
Ste 2
Baxter, MN 56425
Phone (218) 838-2650

Practitioners & affiliated clinicians

Practitioners 2

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": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1730517954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13367 ISLE DR",
            "address_2": "SUITE 2",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252221",
            "telephone_number": "218-838-2650",
            "fax_number": "218-454-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13367 ISLE DR",
            "address_2": "SUITE 2",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252221",
            "telephone_number": "218-838-2650",
            "fax_number": "218-454-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINERD AREA ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-838-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10906",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "13161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colby-Mueller Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.