Active NPI
PDG,P.a.
Doing business as Park Dental
- Dentist
- Roseville, MN
National Provider Identifier
1932256344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PDG,P.A.
- Doing business as
- Park Dental
- Practice address
- 2200 County Road C W
Suite 2210
Roseville, MN 55113 - Phone
- (651) 633-0500
- Fax
- (651) 636-6350
- NPI assigned
- Jan 5, 2007
- Last updated
- Oct 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Steele, D.D.S.
- Title
- President
- Phone
- (651) 633-0500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| General Practice Dentistry | 1223G0001X | |||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2200 County Road C W
Suite 2210
Roseville, MN 55113
Mailing address
2200 County Road C W
Suite 2210
Roseville, MN 55113-2504
Phone (651) 633-0500
Other names 1
- Park Dental
National Provider Directory
National Provider Directory- Tax ID family
- Pdgpa
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Dental Clinic/Center
- Shakopee, MN
- NPI 1821545930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1932256344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COUNTY ROAD C W",
"address_2": "SUITE 2210",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132504",
"telephone_number": "651-633-0500",
"fax_number": "651-636-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 COUNTY ROAD C W",
"address_2": "SUITE 2210",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-633-0500",
"fax_number": "651-636-6350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDG,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-633-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Park Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.