NPIMap

Organization Active NPI

Modern Care Endodontics of Apple Valley

  • Endodontics
  • Apple Valley, MN
National Provider Identifier
1780236539
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MODERN CARE ENDODONTICS OF APPLE VALLEY
Practice address
15160 Foliage Ave Ste 100
Apple Valley, MN 55124-5916
Phone
(952) 920-4400
NPI assigned
Jul 11, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Jay David Simonton, DDSNPI 1598943441
Title
Owner
Phone
(952) 920-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

15160 Foliage Ave Ste 100
Apple Valley, MN 55124-5916

Mailing address

15160 Foliage Ave Ste 100
Apple Valley, MN 55124-5916
Phone (952) 920-4400

National Provider Directory

National Provider Directory

Locations

15160 Foliage Ave
Ste 100
Apple Valley, MN 55124
Phone (952) 920-4400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1780236539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 FOLIAGE AVE STE 100",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245916",
            "telephone_number": "952-920-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 FOLIAGE AVE STE 100",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245916",
            "telephone_number": "952-920-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CARE ENDODONTICS OF APPLE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "SIMONTON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-920-4400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.