NPIMap

Organization Active NPI

Northland Dental Partners, PLLC

Doing business as Metro Dentalcare

  • General Practice Dentistry
  • Roseville, MN
National Provider Identifier
1780866962
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12311 Issued in MN
Legal business name
NORTHLAND DENTAL PARTNERS, PLLC
Doing business as
Metro Dentalcare
Practice address
3030 Centre Pointe Dr
Suite 100
Roseville, MN 55113-1112
Phone
(651) 286-8100
Fax
(651) 633-6811
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. James Ludke, DDS
Title
Chief Manager
Phone
(651) 286-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D12311 MN Primary

Addresses

Primary practice location

3030 Centre Pointe Dr
Suite 100
Roseville, MN 55113-1112

Mailing address

3030 Centre Pointe Dr
Suite 100
Roseville, MN 55113-1112
Phone (651) 286-8100

Other names 1

  • Metro Dentalcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northland Dental Partners43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1780866962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CENTRE POINTE DR",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131112",
            "telephone_number": "651-286-8100",
            "fax_number": "651-633-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CENTRE POINTE DR",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131112",
            "telephone_number": "651-286-8100",
            "fax_number": "651-633-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND DENTAL PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "LUDKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "651-286-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dentalcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.