NPIMap

Organization Active NPI

Dentalign, P.a

Doing business as TC Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chanhassen, MN
National Provider Identifier
1760802722
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11493 Issued in MN
Legal business name
DENTALIGN, P.A
Doing business as
TC Orthodontics
Practice address
470 W 78TH St
Chanhassen, MN 55317-4524
Phone
(763) 420-1030
NPI assigned
Apr 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Chad H Kelly, D.M.D
Title
President
Phone
(763) 420-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 11493 MN Primary

Addresses

Primary practice location

470 W 78TH St
Chanhassen, MN 55317-4524

Mailing address

4630 Edgebrook PL
Edina, MN 55424-1152
Phone (763) 420-1030

Other names 1

  • TC Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dentalign PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1760802722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 EDGEBROOK PL",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241152",
            "telephone_number": "763-420-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174524",
            "telephone_number": "763-420-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALIGN, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-420-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "11493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TC Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanhassen, MN

Sources for this page

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