Carepoint Dental Crystal

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12779 Issued in MN

Legal business name

CAREPOINT DENTAL CRYSTAL

Practice address

331 Willow BND
Crystal, MN 55428-3969

Phone

(763) 354-7683

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Salad, DDS

Title

Owner

Phone

(763) 354-7683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1730602905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WILLOW BND",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WILLOW BND",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283969",
            "telephone_number": "763-354-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPOINT DENTAL CRYSTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "SALAD",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-354-7683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Crystal, MN
• Providers in Crystal, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.