Organization Active NPI

Modern Montessori Charter School

  • Local Education Agency (LEA)
  • Champlin, MN
National Provider Identifier
1902443286
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MODERN MONTESSORI CHARTER SCHOOL
Practice address
111 Dean Ave W
Champlin, MN 55316-1343
Phone
(612) 440-0681
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Shawna Heller
Title
Director
Phone
(612) 440-0681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

111 Dean Ave W
Champlin, MN 55316-1343

Mailing address

111 Dean Ave W
Champlin, MN 55316-1343

National Provider Directory

National Provider Directory

Locations

111 Dean Ave W
Champlin, MN 55316
Phone (612) 440-0681

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1902443286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEAN AVE W",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEAN AVE W",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161343",
            "telephone_number": "612-440-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MONTESSORI CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-440-0681"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.