NPIMap

Organization Active NPI

Veneman Dental Care

  • Dentist
  • Maplewood, MN
National Provider Identifier
1942357397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10146 Issued in MN
Legal business name
VENEMAN DENTAL CARE
Practice address
1650 Beam Ave
Maplewood, MN 55109
Phone
(651) 770-7175
Fax
(651) 770-6109
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Derrick John Veneman, DDS
Title
Owner Dentist
Phone
(651) 770-7175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10146 MN Primary

Addresses

Primary practice location

1650 Beam Ave
Maplewood, MN 55109

Mailing address

1650 Beam Ave
Maplewood, MN 55109
Phone (651) 770-7175

National Provider Directory

National Provider Directory
Tax ID family
Veneman Dental Care2 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.

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": "1598054400000",
    "number": "1942357397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-770-7175",
            "fax_number": "651-770-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-770-7175",
            "fax_number": "651-770-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENEMAN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENEMAN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "651-770-7175",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.