Family Orthodontics PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9941 Issued in MN

Legal business name

FAMILY ORTHODONTICS PA

Practice address

5804 Excelsior Blvd
St Louis Park, MN 55416

Phone

(952) 922-7117

Fax

(952) 927-8534

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela V Ross, DMDNPI 1376563304

Title

Owner

Phone

(952) 922-7117

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Angela V. Ross, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Louis Park, MN
  • NPI 1376563304
  NPD (past) Authorized official
• Sandra Lynn Steen Law, D.D.S M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Louis Park, MN
  • NPI 1629115639
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801991146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-922-7117",
            "fax_number": "952-927-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-922-7117",
            "fax_number": "952-927-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-922-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "9941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Marie Falkowski
• Eseferuo Famati, DNP-PMHNP-BC, CNP
• Family Alliance Healthcare LLC
• Family Health Solutions LLC (Visiting Angels)
• Family Orthodontic Specialists PLC (Woodlake Orthodontics St Louis Park)
• Family Therapy & Recovery Ctr
• Family Tree Chiropractic Clinic
• Family West Chiropractic PA.
• Jill Fancher, PHARM D
• Hanie Ali Farah

• Orthodontics and Dentofacial Orthopedics Dentistry in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.