Asp Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ASP DENTAL, PC

Practice address

10500 Wayzata Blvd
Minnetonka, MN 55305-1511

Phone

(952) 593-9310

NPI assigned

Sep 25, 2020

Organization subpart

Yes

Parent organization

ASP DENTAL, PCAs reported in NPPES

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

Authorized official

Name

Robyn Theisen

Title

VP of Operations

Phone

(952) 250-3060

Specialties & licenses 1

Addresses

Other names 1

• The Center for Smile Enhancement Doing business as

Tax ID family

Asp Dental PC4 organizations share this tax ID, including this one

Part of

Asp Dental PC

Other organizations with this tax ID 3

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

• Asp Dental, PC

  • Dental Clinic/Center
  • Minnetonka, MN
  • NPI 1235746058
  NPD tax ID
• Asp Dental, PC

  • Dental Clinic/Center
  • Red Wing, MN
  • NPI 1235746645
  NPD tax ID
• Asp Dental, PC

  • Dental Clinic/Center
  • Plymouth, MN
  • NPI 1952918781
  NPD tax ID

Locations

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1851908685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051511",
            "telephone_number": "952-593-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051511",
            "telephone_number": "952-593-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASP DENTAL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASP DENTAL, PC",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "THEISEN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "952-250-3060"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Smile Enhancement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnetta Puchu Arthur
• Dominic Christopher Artis
• Charlotte J. Michels Asbury, N.P.-C.
• Amy Jill Asher Louwers, MA, LMFT
• Asp Dental, PC
• Aspark Inc
• Aspire Therapy L.L.C.
• Asura Inc
• At Home Tomorrow
• Alysia Atkinson, NP

• Dental Clinic/Center in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.