Organization Active NPI

Twin Cities Endodontic Specialists, P.a.

  • Endodontics
  • Saint Paul, MN
National Provider Identifier
1770540502
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
TWIN CITIES ENDODONTIC SPECIALISTS, P.A.
Practice address
2550 University Ave W
Suite 155S
Saint Paul, MN 55114-1052
Phone
(651) 646-6386
Fax
(651) 649-3074
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Ms. Deb Welters, L.D.A.
Title
Practice Manager
Phone
(651) 646-6386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X MN Primary

Addresses

Primary practice location

2550 University Ave W
Suite 155S
Saint Paul, MN 55114-1052

Mailing address

2550 University Ave W
Suite 155S
Saint Paul, MN 55114-1052
Phone (651) 646-6386

National Provider Directory

National Provider Directory
Tax ID family
Twin Cities Endodontic Specialists PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2550 University Ave W
Ste 155S
Saint Paul, MN 55114
Phone (651) 646-6386

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1770540502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 155S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-646-6386",
            "fax_number": "651-649-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 155S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-646-6386",
            "fax_number": "651-649-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES ENDODONTIC SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "WELTERS",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "651-646-6386",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.D.A."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.