NPIMap

Organization Active NPI

Family Endodontic Specialists PLC

Doing business as Metro Dentalcare Specialty Center Burnsville - Endodontics

  • General Practice Dentistry
  • Burnsville, MN
National Provider Identifier
1871241505
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY ENDODONTIC SPECIALISTS PLC
Doing business as
Metro Dentalcare Specialty Center Burnsville - Endodontics
Practice address
14344 Burnhaven Dr
Burnsville, MN 55306-4928
Phone
(612) 638-1238
Fax
(952) 898-4109
NPI assigned
Mar 11, 2022
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY ENDODONTIC SPECIALISTS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

14344 Burnhaven Dr
Burnsville, MN 55306-4928

Mailing address

14344 Burnhaven Dr
Burnsville, MN 55306-4928
Phone (612) 638-1238

Other names 1

  • Metro Dentalcare Specialty Center Burnsville - 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": "1646956800000",
    "number": "1871241505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14344 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064928",
            "telephone_number": "612-638-1238",
            "fax_number": "952-898-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064928",
            "telephone_number": "612-638-1238",
            "fax_number": "952-898-4109"
        }
    ],
    "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": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dentalcare Specialty Center Burnsville - Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.