Organization Active NPI

Bright Smiles Community Clinic & Dental

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1932934932
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRIGHT SMILES COMMUNITY CLINIC & DENTAL
Practice address
334 E Lake St Ste 104
Minneapolis, MN 55408-2485
Phone
(612) 910-1131
NPI assigned
Sep 9, 2024
Organization subpart
Yes
Parent organization
WANLAINJOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Ms. Mahado OnwukweNPI 1023836954
Title
Ceo
Phone
(612) 910-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

334 E Lake St Ste 104
Minneapolis, MN 55408-2485

Mailing address

334 E Lake St Ste 104
Minneapolis, MN 55408-2485
Phone (612) 910-1131

Other practice location 1

828 Hawthorne Ave E
Saint Paul, MN 55106-3252
Phone (651) 300-4688

Other practice location 2

1521 Northway Dr Ste 108
Saint Cloud, MN 56303-4490
Phone (320) 200-2300

National Provider Directory

National Provider Directory
Part of
Bright Smiles Community Clinic Dental

Locations

334 E Lake St
Ste 104
Minneapolis, MN 55408
Phone (320) 980-6031

828 Hawthorne Ave E
Saint Paul, MN 55106
Phone (651) 774-1126

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1932934932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E LAKE ST STE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082485",
            "telephone_number": "612-910-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E LAKE ST STE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082485",
            "telephone_number": "612-910-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Hawthorne Ave E",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551063252",
            "country_code": "US",
            "telephone_number": "651-300-4688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 Northway Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563034490",
            "country_code": "US",
            "telephone_number": "320-200-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT SMILES COMMUNITY CLINIC & DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WANLAINJO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "ONWUKWE",
        "authorized_official_first_name": "MAHADO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-910-1131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.