Organization Active NPI

Salo Dental

  • Dental Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1891419818
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SALO DENTAL
Practice address
3900 Vinewood LN N Ste 13
Minneapolis, MN 55441-1155
Phone
(763) 557-6893
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mrs. Carrie Wise
Title
Cfo
Phone
(763) 557-6893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3900 Vinewood LN N Ste 13
Minneapolis, MN 55441-1155

Mailing address

3900 Vinewood LN N Ste 13
Minneapolis, MN 55441-1155
Phone (763) 557-6893

Other identifiers 1

IdentifierTypeStateIssuer
D10976OtherMNDENTAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carrie@salodental.com Direct

National Provider Directory

National Provider Directory

Locations

3900 Vinewood Ln N
Ste 13
Plymouth, MN 55441
Phone (763) 557-6893

Practitioners & affiliated clinicians

Practitioners 1

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": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1891419818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N STE 13",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-557-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N STE 13",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-557-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "763-557-6893",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D10976",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie@salodental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3900 Vinewood Ln N Ste 13",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554411155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 3, 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.