Organization Active NPI

Rosemount Minnesota Orthodontics

  • Dental Clinic/Center
  • Rosemount, MN
National Provider Identifier
1811725997
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROSEMOUNT MINNESOTA ORTHODONTICS
Practice address
14455 S Robert TRL
Rosemount, MN 55068-4932
Phone
(651) 450-7273
Fax
(507) 645-1684
NPI assigned
Jul 22, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Becky Craig
Title
Financial Coordniator
Phone
(651) 450-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

14455 S Robert TRL
Rosemount, MN 55068-4932

Mailing address

2019 Jefferson Rd Ste C
Northfield, MN 55057-3258
Phone (651) 450-7273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1811725997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 JEFFERSON RD STE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573258",
            "telephone_number": "651-450-7273"
        },
        {
            "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": "651-450-7273",
            "fax_number": "507-645-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMOUNT MINNESOTA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "FINANCIAL COORDNIATOR",
        "authorized_official_telephone_number": "651-450-7273"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2024; 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.