CLD - Eden Prairie MN, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CLD - EDEN PRAIRIE MN, LLC

Doing business as

Clear Lakes Dental

Practice address

964 Prairie Center Dr Ste 230
Eden Prairie, MN 55344-7304

Phone

(651) 444-9644

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rakshya Shrestha, DMD

Title

Ceo/Owner

Phone

(952) 641-6228

Specialties & licenses 1

Addresses

Other names 1

• Clear Lakes Dental Doing business as

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1770315889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 PRAIRIE CENTER DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447304",
            "telephone_number": "651-444-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 PRAIRIE CENTER DR STE 230",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447304",
            "telephone_number": "651-444-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLD - EDEN PRAIRIE MN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "SHRESTHA",
        "authorized_official_first_name": "RAKSHYA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "952-641-6228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Lakes Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Lakes Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Joy Churchill, PHD
• Karen Kay Cierzan, MA, LPCC
• Whytnee Sue Citarella
• Marketa Latese Claiborn, MSW, LGSW
• Emily Clarkin
• Tamara Clement, PH.D., L.P.
• Susan Clough, MA
• Nancy Elizabeth Cluff
• Cole Vision Corporation
• Andrea Colford

• Dental Clinic/Center in Eden Prairie, MN
• Providers in Eden Prairie, 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 Apr 29, 2025; 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.