Active NPI
Dakota Children's Dentistry
- Pediatric Dentistry
- Inver Grove Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D10462
- Legal business name
- DAKOTA CHILDREN'S DENTISTRY
- Practice address
- 5955 Carmen Ave
Inver Grove Heights, MN 55076-4416 - Phone
- (651) 450-6111
- Fax
- (651) 450-0668
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel H Glenn, D.D.S, M.S.
- Title
- President
- Phone
- (651) 322-5788
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D10462 | MN | Primary |
Addresses
Primary practice location
5955 Carmen Ave
Inver Grove Heights, MN 55076-4416
Mailing address
5955 Carmen Ave
Inver Grove Heights, MN 55076-4416
Phone (651) 450-6111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3049280 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Dakota Children's Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Rosemount, MN
- NPI 1306924584
Practitioners & affiliated clinicians
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.
-
- Pediatric Dentistry
- Inver Grove Heights, MN
- NPI 1588653729
-
- Pediatric Dentistry
- Inver Grove Heights, MN
- NPI 1629507488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811061054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 CARMEN AVE",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550764416",
"telephone_number": "651-450-6111",
"fax_number": "651-450-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 CARMEN AVE",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550764416",
"telephone_number": "651-450-6111",
"fax_number": "651-450-0668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA CHILDREN'S DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-322-5788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S, M.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "D10462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3049280",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inver Grove Heights, MN
Sources for this page
- 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.