NPIMap

Organization Active NPI

Family Endodontic Specialists PLC

  • General Practice Dentistry
  • Richfield, MN
National Provider Identifier
1861140501
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY ENDODONTIC SPECIALISTS PLC
Practice address
6601 Lyndale Ave S Ste 230a
Richfield, MN 55423-2479
Phone
(612) 638-1206
NPI assigned
Mar 11, 2022
Organization subpart
Yes
Parent organization
FAMILY ENDODONTIC SPECIALISTS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinators
Phone
(217) 540-2100

Specialties & licenses 1

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

Addresses

Primary practice location

6601 Lyndale Ave S Ste 230a
Richfield, MN 55423-2479

Mailing address

6601 Lyndale Ave S Ste 230
Richfield, MN 55423-2479
Phone (612) 638-1206

Other names 1

  • Metro Dentalcare Specialty Center Richfield - Endodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Endodontic Specialists PLC5 organizations share this tax ID, including this one
Part of
Family Endodontic Specialists PLC

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1861140501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S STE 230",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232479",
            "telephone_number": "612-638-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S STE 230A",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232479",
            "telephone_number": "612-638-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ENDODONTIC SPECIALISTS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY ENDODONTIC SPECIALISTS PLC",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATORS",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dentalcare Specialty Center Richfield - Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Dentalcare Specialty Center Richfield - Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

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