NPIMap

Organization Active NPI

Chaska Dental Center, P.a.

  • General Practice Dentistry
  • Chaska, MN
National Provider Identifier
1891867941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10252 Issued in MN
Legal business name
CHASKA DENTAL CENTER, P.A.
Practice address
2634 Shadow LN
Suite 101
Chaska, MN 55318-1119
Phone
(952) 448-4151
Fax
(952) 448-6856
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas John Meschke, D.D.S.NPI 1457424962
Title
Owner Dentist
Phone
(952) 448-4151

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D10252 MN Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D11487 MN

Addresses

Primary practice location

2634 Shadow LN
Suite 101
Chaska, MN 55318-1119

Mailing address

2634 Shadow LN
Suite 101
Chaska, MN 55318-1119
Phone (952) 448-4151

National Provider Directory

National Provider Directory

Locations

2634 Shadow Ln
Ste 101
Chaska, MN 55318
Phone (952) 448-4151

Practitioners & affiliated clinicians

Practitioners 3

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891867941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 SHADOW LN",
            "address_2": "SUITE 101",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181119",
            "telephone_number": "952-448-4151",
            "fax_number": "952-448-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 SHADOW LN",
            "address_2": "SUITE 101",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181119",
            "telephone_number": "952-448-4151",
            "fax_number": "952-448-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASKA DENTAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESCHKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "952-448-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10252",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.