NPIMap

Organization Active NPI

Patrick J. Foy DDS,PA

  • Dentist
  • St Louis Park, MN
National Provider Identifier
1831528447
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9089 Issued in MN
Legal business name
PATRICK J. FOY DDS,PA
Practice address
3340 Republic Ave
Ste 130
St Louis Park, MN 55426
Phone
(952) 938-2740
Fax
(952) 938-1338
NPI assigned
Nov 4, 2013
Organization subpart
Yes
Parent organization
PATRICK J FOY, DDS. PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Dr. Patrick J Foy, DDSNPI 1962483420
Title
Owner
Phone
(952) 938-2740

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9089 MN Primary

Addresses

Primary practice location

3340 Republic Ave
Ste 130
St Louis Park, MN 55426

Mailing address

3340 Republic Ave
Ste 130
St Louis Park, MN 55426
Phone (952) 938-2740

Other names 1

  • CREEKSIDE DENTAL Doing business as

National Provider Directory

National Provider Directory
Part of
Patrick J Foy Ddspa

Locations

3340 Republic Ave
Ste 130
St Louis Park, MN 55426
Phone (952) 938-2740

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1831528447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE",
            "address_2": "STE 130",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-938-2740",
            "fax_number": "952-938-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE",
            "address_2": "STE 130",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-938-2740",
            "fax_number": "952-938-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. FOY DDS,PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICK J FOY, DDS. PA",
        "enumeration_date": "2013-11-04",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "FOY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-938-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREEKSIDE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.