NPIMap

Organization Active NPI

Twin Cities Dental

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1871750026
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12142 Issued in MN
Legal business name
TWIN CITIES DENTAL
Practice address
3803 Silver Lake Rd NE
Minneapolis, MN 55421-4574
Phone
(612) 782-7000
Fax
(612) 782-7005
NPI assigned
May 16, 2008
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Tammy Vasseur, RDA
Title
Office Manager
Phone
(612) 782-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12034 MN
General Practice Dentistry 1223G0001X D12142 MN Primary

Addresses

Primary practice location

3803 Silver Lake Rd NE
Minneapolis, MN 55421-4574

Mailing address

3803 Silver Lake Rd NE
Minneapolis, MN 55421-4574
Phone (612) 782-7000

Other identifiers 2

IdentifierTypeStateIssuer
937605400MedicaidMN
243672800MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Almond Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3803 Silver Lake Rd NE
Minneapolis, MN 55421
Phone (612) 782-7000

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1871750026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE RD NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214574",
            "telephone_number": "612-782-7000",
            "fax_number": "612-782-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE RD NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214574",
            "telephone_number": "612-782-7000",
            "fax_number": "612-782-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "VASSEUR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-782-7000",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12034",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937605400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243672800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.