Organization Active NPI

Lake Minnetonka Dental

Doing business as Bryan N Laskin DDS PA

  • Dentist
  • Wayzata, MN
National Provider Identifier
1922185016
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAKE MINNETONKA DENTAL
Doing business as
Bryan N Laskin DDS PA
Practice address
109 Bushaway Rd
Suite 300
Wayzata, MN 55391-1945
Phone
(952) 475-0225
Fax
(952) 475-0776
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Bryan Neil Laskin, DDS
Title
President Dentist
Phone
(952) 475-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

109 Bushaway Rd
Suite 300
Wayzata, MN 55391-1945

Mailing address

109 Bushaway Rd
Ste 300
Wayzata, MN 55391-1945
Phone (952) 475-0225

Other names 1

  • Bryan N Laskin DDS PA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1922185016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BUSHAWAY RD",
            "address_2": "STE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911945",
            "telephone_number": "952-475-0225",
            "fax_number": "952-475-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BUSHAWAY RD",
            "address_2": "SUITE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911945",
            "telephone_number": "952-475-0225",
            "fax_number": "952-475-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MINNETONKA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "LASKIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "952-475-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan N Laskin DDS PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.