Downtown Periodontics and Implant Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOWNTOWN PERIODONTICS AND IMPLANT DENTISTRY

Practice address

825 Nicollet Mall
Suite 725
Minneapolis, MN 55402

Phone

(612) 339-5593

Fax

(612) 324-3136

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Morgan McCann, D.D.S.NPI 1720138886

Title

Periodontist/Owner

Phone

(612) 339-5593

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Morgan McCann, DDS MS

  • Periodontics
  • Minneapolis, MN
  • NPI 1720138886
  Authorized official Same address or phone

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1861138133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 725",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55402",
            "telephone_number": "612-339-5593",
            "fax_number": "612-324-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 725",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55402",
            "telephone_number": "612-339-5593",
            "fax_number": "612-324-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN PERIODONTICS AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "PERIODONTIST/OWNER",
        "authorized_official_telephone_number": "612-339-5593",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis L Downhour Jr., RN
• Elissa Marguerite Downs, MD MPH
• Downtown Dental Center PLLC (Holger Dental Group)
• Downtown Dental Professionals LLC
• Downtown Eyes Optometric PLLC
• Downtown Skyway Foot Specialists Inc
• Anna Elizabeth Dowson, LMFT
• Tara Katherine Doyle Bizily, MD
• Anita Doyle, MSW
• Colleen Doyle, PHD, LP

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.