Organization Active NPI

Harbor Place Dental Associates, LTD

  • General Practice Dentistry
  • Shoreview, MN
National Provider Identifier
1841452398
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARBOR PLACE DENTAL ASSOCIATES, LTD
Practice address
470 Highway 96 W
Suite 200
Shoreview, MN 55126-1996
Phone
(651) 484-9229
Fax
(651) 484-9221
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Steven Robert Pletscher, D.D.S.
Title
President/Owner
Phone
(651) 484-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MN Primary

Addresses

Primary practice location

470 Highway 96 W
Suite 200
Shoreview, MN 55126-1996

Mailing address

470 Highway 96 W
Suite 200
Shoreview, MN 55126-1996
Phone (651) 484-9229

Other identifiers 1

IdentifierTypeStateIssuer
682222300OtherMNMEDICAL ASSISTANCE

National Provider Directory

National Provider Directory

Locations

470 Highway 96 W
Ste 200
Shoreview, MN 55126
Phone (651) 366-6880

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1841452398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HIGHWAY 96 W",
            "address_2": "SUITE 200",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261996",
            "telephone_number": "651-484-9229",
            "fax_number": "651-484-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 HIGHWAY 96 W",
            "address_2": "SUITE 200",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261996",
            "telephone_number": "651-484-9229",
            "fax_number": "651-484-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR PLACE DENTAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "PLETSCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "651-484-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "682222300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.