Hopkins Crossroads Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOPKINS CROSSROADS DENTISTRY, PC

Doing business as

Hopkins Crossroads Dentistry

Practice address

11300 Wayzata Blvd # G
Minnetonka, MN 55305-2019

Phone

(952) 314-1125

Fax

(952) 314-5483

NPI assigned

Mar 25, 2020

Last updated

Mar 25, 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

Parvathi Jithendranathan, DDS

Title

Owner

Phone

(952) 314-1125

Specialties & licenses 1

Addresses

Other names 1

• Hopkins Crossroads Dentistry Doing business as

Locations

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1811524234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 WAYZATA BLVD # G",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052019",
            "telephone_number": "952-314-1125",
            "fax_number": "952-314-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS CROSSROADS DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "JITHENDRANATHAN",
        "authorized_official_first_name": "PARVATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-314-1125",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopkins Crossroads Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.