Organization Active NPI

Cedar Riverside Community School

  • Local Education Agency (LEA)
  • Minneapolis, MN
National Provider Identifier
1831476605
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CEDAR RIVERSIDE COMMUNITY SCHOOL
Practice address
1610 S 6TH St
Suite #100
Minneapolis, MN 55454-1102
Phone
(612) 339-5767
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Mr. Ricky White
Title
Executive Director
Phone
(612) 339-5767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X MN Primary

Addresses

Primary practice location

1610 S 6TH St
Suite #100
Minneapolis, MN 55454-1102

Mailing address

1610 S 6TH St
Suite #100
Minneapolis, MN 55454-1102
Phone (612) 339-5767

National Provider Directory

National Provider Directory
Tax ID family
Cedar Riverside Community School3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1610 S 6th St
#100
Minneapolis, MN 55454
Phone (612) 339-5767

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1831476605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S 6TH ST",
            "address_2": "SUITE #100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541102",
            "telephone_number": "612-339-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S 6TH ST",
            "address_2": "SUITE #100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541102",
            "telephone_number": "612-339-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIVERSIDE COMMUNITY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-339-5767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.