Active NPI
PDG, P.a
Doing business as Park Dental Cedar Valley
- Dental Clinic/Center
- Apple Valley, MN
National Provider Identifier
1841831799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PDG, P.A
- Doing business as
- Park Dental Cedar Valley
- Practice address
- 14135 Cedar Ave Ste 500
Apple Valley, MN 55124-4527 - Phone
- (952) 891-4611
- Fax
- (952) 891-4370
- NPI assigned
- Oct 2, 2019
- Last updated
- Oct 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Hesse
- Title
- Credentialing Specialist
- Phone
- (651) 746-2815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
14135 Cedar Ave Ste 500
Apple Valley, MN 55124-4527
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Phone (651) 746-2815
Other names 1
- Park Dental Cedar Valley
National Provider Directory
National Provider Directory- Tax ID family
- Pdgpa
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Dental Clinic/Center
- Cottage Grove, MN
- NPI 1689122442
Locations
14135 Cedar Ave
Ste 500
Apple Valley, MN 55124
Phone (952) 891-4611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1841831799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COUNTY ROAD C W STE 2210",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132551",
"telephone_number": "651-746-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14135 CEDAR AVE STE 500",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551244527",
"telephone_number": "952-891-4611",
"fax_number": "952-891-4370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDG, P.A",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-02",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "HESSE",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "651-746-2815"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Dental Cedar Valley",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.