NPIMap

Organization Active NPI

Manitou Dental Care LTD

  • Dentist
  • White Bear Lake, MN
National Provider Identifier
1902234743
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MANITOU DENTAL CARE LTD
Practice address
2189 3Rd St
White Bear Lake, MN 55110-3214
Phone
(651) 429-9221
Fax
(651) 429-4320
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Dr. Suzanne Marie Kappel-Geib, D.D.S.NPI 1811057433
Title
Owner/Dentist
Phone
(651) 429-9221

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2189 3Rd St
White Bear Lake, MN 55110-3214

Mailing address

2189 3Rd St
White Bear Lake, MN 55110-3214
Phone (651) 429-9221

National Provider Directory

National Provider Directory

Locations

2189 3rd St
White Bear Lake, MN 55110
Phone (651) 429-9221

Practitioners & affiliated clinicians

Practitioners 1

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": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1902234743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 3RD ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103214",
            "telephone_number": "651-429-9221",
            "fax_number": "651-429-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 3RD ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103214",
            "telephone_number": "651-429-9221",
            "fax_number": "651-429-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOU DENTAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "KAPPEL-GEIB",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "651-429-9221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.