Organization Active NPI

Cahill Dental Care PA

  • General Practice Dentistry
  • Inver Grove Heights, MN
National Provider Identifier
1891979050
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3142423 Issued in MN
Legal business name
CAHILL DENTAL CARE PA
Practice address
6105 Cahill Ave
Inver Grove Heights, MN 55076-1525
Phone
(651) 451-9101
Fax
(651) 451-9887
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Joan M Nelson
Title
Clinical Manager
Phone
(651) 451-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3142423 MN Primary

Addresses

Primary practice location

6105 Cahill Ave
Inver Grove Heights, MN 55076-1525

Mailing address

6105 Cahill Ave
Inver Grove Heights, MN 55076-1525
Phone (651) 451-9101

Other identifiers 4

IdentifierTypeStateIssuer
1013999309OtherMNDENTIST
1174633823OtherMNPERIODONTIST
1942282231OtherMNDENTIST
1891777454OtherMNDENTIST

National Provider Directory

National Provider Directory

Locations

6105 Cahill Ave
Inver Grove Heights, MN 55076
Phone (651) 451-9101

Practitioners & affiliated clinicians

Practitioners 5

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1891979050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 CAHILL AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761525",
            "telephone_number": "651-451-9101",
            "fax_number": "651-451-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 CAHILL AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761525",
            "telephone_number": "651-451-9101",
            "fax_number": "651-451-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHILL DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "651-451-9101"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "3142423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1013999309",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERIODONTIST",
            "identifier": "1174633823",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1942282231",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1891777454",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.