Heritage Dental Centers

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HERITAGE DENTAL CENTERS

Practice address

6120 Brooklyn Blvd
#201
Brooklyn Center, MN 55429

Phone

(763) 561-3530

Fax

(763) 561-0117

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James M Bowman

Title

Manager

Phone

(763) 537-6070

Specialties & licenses 1

Addresses

Tax ID family

Heritage Dental Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Dental Centers, P.a.

  • Clinic/Center
  • New Hope, MN
  • NPI 1134295660
  NPD tax ID

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1932260775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BROOKLYN BLVD",
            "address_2": "#201",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55429",
            "telephone_number": "763-561-3530",
            "fax_number": "763-561-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BROOKLYN BLVD",
            "address_2": "#201",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55429",
            "telephone_number": "763-561-3530",
            "fax_number": "763-561-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-537-6070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Family Home Care LLC
• Susan D Hembroff, MA, LP, LMFT
• Reilly Belle Hennen
• Aysa S Henry
• Serena Her
• Gabrielle N Hermanson
• Melody M Hernandez
• Ellie Grace Hernes
• Cecilia Herrera Ramirez
• Yasmin Mohamed Hersi

• Clinic/Center in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.