NPIMap

Organization Active NPI

Family Orthodontic Specialists PLC

Doing business as Woodlake Orthodontics Rosemount

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rosemount, MN
National Provider Identifier
1811630551
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FAMILY ORTHODONTIC SPECIALISTS PLC
Doing business as
Woodlake Orthodontics Rosemount
Practice address
14455 S Robert TRL
Rosemount, MN 55068-4932
Phone
(651) 423-6302
NPI assigned
Apr 20, 2022
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY ORTHODONTIC SPECIALISTS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

14455 S Robert TRL
Rosemount, MN 55068-4932

Mailing address

14455 S Robert TRL
Rosemount, MN 55068-4932
Phone (651) 423-6302

Other names 1

  • Woodlake Orthodontics Rosemount Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Orthodontic Specialists PLC10 organizations share this tax ID, including this one
Part of
Family Orthodontic Specialists PLC

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1811630551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 S ROBERT TRL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684932",
            "telephone_number": "651-423-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 S ROBERT TRL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684932",
            "telephone_number": "651-423-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHODONTIC SPECIALISTS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY ORTHODONTIC SPECIALISTS PLC",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Orthodontics Rosemount",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.