Organization Active NPI

Smiles on Seventh, LTD.

  • Dental Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1821228347
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D11243 Issued in MN
Legal business name
SMILES ON SEVENTH, LTD.
Practice address
2390 7TH St W
Saint Paul, MN 55116-2800
Phone
(651) 699-1234
Fax
(651) 699-7715
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. Ann Elizabeth Jennen, D.D.S.NPI 1487765210
Title
Dentist
Phone
(651) 699-1234

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D11243 MN Primary

Addresses

Primary practice location

2390 7TH St W
Saint Paul, MN 55116-2800

Mailing address

2390 7TH St W
Saint Paul, MN 55116-2800
Phone (651) 699-1234

Other identifiers 2

IdentifierTypeStateIssuer
0316022000MedicaidMN
0316022000OtherMNMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1821228347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162800",
            "telephone_number": "651-699-1234",
            "fax_number": "651-699-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162800",
            "telephone_number": "651-699-1234",
            "fax_number": "651-699-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON SEVENTH, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "JENNEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-699-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0316022000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0316022000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.