Herzing University Dental Hygiene Clinic

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

HERZING UNIVERSITY DENTAL HYGIENE CLINIC

Practice address

5700 W Broadway Ave
Crystal, MN 55428-3568

Phone

(763) 535-3000

Fax

(763) 535-9205

NPI assigned

Apr 6, 2010

Organization subpart

Yes

Parent organization

HERZING, INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Mr. John D Slama

Title

Campus President

Phone

(763) 535-3000

Specialties & licenses 1

Addresses

Other names 1

• Lakeland Medical and Dental Academy Former legal business name

Part of

Herzing University Dental Hygiene Clinic

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1841515582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W BROADWAY AVE",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283568",
            "telephone_number": "763-535-3000",
            "fax_number": "763-535-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W BROADWAY AVE",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283568",
            "telephone_number": "763-535-3000",
            "fax_number": "763-535-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZING UNIVERSITY DENTAL HYGIENE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERZING, INCORPORATED",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "SLAMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CAMPUS PRESIDENT",
        "authorized_official_telephone_number": "763-535-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Medical and Dental Academy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Hemke
• Andrea Nicole Hendrickson
• PA Nhia Her
• Nicole Herlofsky, LADC, LPCC
• Emily Nicole Herrick
• Highlinks Holdings LLC
• Lisa Hoium, DPT
• Hopeland Care Services Inc.
• Amy Smith Horita, P.T.
• Meghan Nicole Hotz

• Dental Hygienist in Crystal, MN
• Providers in Crystal, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.