NPIMap

Organization Active NPI

Chaska Commons Dental Group PC

Doing business as Chaska Commons Dental Group

  • General Practice Dentistry
  • Chaska, MN
National Provider Identifier
1912319286
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHASKA COMMONS DENTAL GROUP PC
Doing business as
Chaska Commons Dental Group
Practice address
114 Pioneer Trail
Chaska, MN 55318
Phone
(952) 361-6855
Fax
(952) 361-6833
NPI assigned
May 21, 2014
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Parvathi Jithendranathan, D.D.S.
Title
Owner
Phone
(952) 361-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

114 Pioneer Trail
Chaska, MN 55318

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • Chaska Commons Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

114 Pioneer Trl
Chaska, MN 55318
Phone (952) 361-6855

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": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1912319286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PIONEER TRAIL",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "55318",
            "telephone_number": "952-361-6855",
            "fax_number": "952-361-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASKA COMMONS DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "JITHENDRANATHAN",
        "authorized_official_first_name": "PARVATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-361-6855",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaska Commons Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chaska Commons Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 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.