Active NPI
Terry Gordon Orr, DDS
- Prosthodontics
- Minneapolis, MN
National Provider Identifier
1780754341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 10265
- Practice address
- 333 South 7TH Street
Suite 110
Minneapolis, MN 55402 - Phone
- (612) 338-8638
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 10265 | MN | Primary |
Addresses
Primary practice location
333 South 7TH Street
Suite 110
Minneapolis, MN 55402
Mailing address
333 South 7TH Street
Suite 110
Minneapolis, MN 55402
Phone (612) 338-8638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603001722 | MN | Practitioner - Oral Surgery | 7618298571 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Prosthodontics | Current | Accepting new patients |
| Group Health, Inc. | Prosthodontics | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients |
Locations
3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775
2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthodontics
- Saint Paul, MN
- NPI 1780739417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780754341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SOUTH 7TH STREET",
"address_2": "SUITE 110",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55402",
"telephone_number": "612-338-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SOUTH 7TH STREET",
"address_2": "SUITE 110",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55402",
"telephone_number": "612-338-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "TERRY",
"middle_name": "GORDON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MN",
"license": "10265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.