Chaska Family Dental, P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHASKA FAMILY DENTAL, P.L.L.C.

Practice address

407 N Chestnut St
Chaska, MN 55318-1923

Phone

(515) 975-4729

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Courtney A Mann, DDSNPI 1356718795

Title

Ceo

Phone

(515) 975-4729

Specialties & licenses 1

Addresses

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.

• Courtney Ann Mann, D.D.S.

  • Dentist
  • Middleton, WI
  • NPI 1356718795
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1740969518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N CHESTNUT ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181923",
            "telephone_number": "515-975-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N CHESTNUT ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181923",
            "telephone_number": "515-975-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASKA FAMILY DENTAL, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-975-4729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaska Commons Dental Group PC (Chaska Commons Dental Group)
• Chaska Counseling and Guidance, LLC
• Chaska Dental Center, P.a.
• Chaska Eye Care and Vision Center
• Chaska Family Chiropractic, Inc.
• Chaska Independent School District 112
• Chaska Lakes Chiropractic & Rehabilitation PLLC
• Chaska Lakes Chiropractic, PA
• Chaska Medical Center (Crossroads Medical Centers, PA)
• Chaska Orthodontic Specialists

• Dental Clinic/Center in Chaska, MN
• Providers in Chaska, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.