NPIMap

Organization Active NPI

Darin L. Edeen, DDS, PC

  • General Practice Dentistry
  • Dilworth, MN
National Provider Identifier
1881065225
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DARIN L. EDEEN, DDS, PC
Practice address
802 Center Ave W
Dilworth, MN 56529-1339
Phone
(218) 287-2938
Fax
(218) 287-0317
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Dr. Darin L. Edeen, DDSNPI 1609977354
Title
Owner/Dentist
Phone
(218) 287-2938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

802 Center Ave W
Dilworth, MN 56529-1339

Mailing address

802 Center Ave W
Dilworth, MN 56529-1339
Phone (218) 287-2938

Other names 1

  • Edeen Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

802 Center Ave W
Dilworth, MN 56529
Phone (218) 287-2324

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1881065225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CENTER AVE W",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291339",
            "telephone_number": "218-287-2938",
            "fax_number": "218-287-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CENTER AVE W",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291339",
            "telephone_number": "218-287-2938",
            "fax_number": "218-287-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIN L. EDEEN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "EDEEN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "218-287-2938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edeen Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dilworth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.