Golden Valley Kids PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11961 Issued in MN

Legal business name

GOLDEN VALLEY KIDS PLLC

Practice address

7575 Golden Valley Rd
Golden Valley, MN 55427-4562

Phone

(763) 222-1299

NPI assigned

Nov 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Adena Fern Borodkin, DDS, MSNPI 1699868604

Title

Pediatric Dentist

Phone

(763) 222-1299

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adena Fern Borodkin, DDS

  • Pediatric Dentistry
  • Edina, MN
  • NPI 1699868604
  NPD Authorized official

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1780198010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 TIFTON DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391457",
            "telephone_number": "612-419-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274562",
            "telephone_number": "763-222-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY KIDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "BORODKIN",
        "authorized_official_first_name": "ADENA",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "763-222-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D11961",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D11564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria J Gallo, P.a.
• Kari Lisabeth Goeden, LMFT
• Golden Health LLC
• Golden Valley Chiropractic PLLC
• Golden Valley Home Care
• Golden Valley Opco, LLC
• Golden Valley Rehab and Care Center
• Golden Valley Residence
• Jody Goldie, LMFT
• Tera Alford Goldman

• Pediatric Dentistry in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.