Organization Active NPI

Lake Marion Dental Care

  • General Practice Dentistry
  • Lakeville, MN
National Provider Identifier
1881849636
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE MARION DENTAL CARE
Practice address
19950 Dodd Blvd
Lakeville, MN 55044-6341
Phone
(952) 985-8885
Fax
(952) 985-8099
NPI assigned
Nov 20, 2008
Organization subpart
Yes
Parent organization
NOMELAND DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Rebecca Nomeland, DDS
Title
DDS
Phone
(952) 985-8885

Specialties & licenses 1

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

Addresses

Primary practice location

19950 Dodd Blvd
Lakeville, MN 55044-6341

Mailing address

19950 Dodd Blvd
Lakeville, MN 55044-6341
Phone (952) 985-8885

National Provider Directory

National Provider Directory
Tax ID family
Nomeland Dental LLC2 organizations share this tax ID, including this one
Part of
Nomeland Dental LLC

Other organizations with this tax ID 1

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

Locations

19950 Dodd Blvd
Lakeville, MN 55044
Phone (952) 985-8885

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1881849636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19950 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446341",
            "telephone_number": "952-985-8885",
            "fax_number": "952-985-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446341",
            "telephone_number": "952-985-8885",
            "fax_number": "952-985-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MARION DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOMELAND DENTAL",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "NOMELAND",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "952-985-8885",
        "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": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.