Organization Active NPI

Dentistry of the Ponds P.L.L.C.

Doing business as Dentistry on the Ponds P.L.L.C.

  • General Practice Dentistry
  • Chanhassen, MN
National Provider Identifier
1952049074
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTRY OF THE PONDS P.L.L.C.
Doing business as
Dentistry on the Ponds P.L.L.C.
Practice address
436 Pond Promenade
Chanhassen, MN 55317-8307
Phone
(952) 906-0200
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Dr. Monil Mehta, DMDNPI 1790354181
Title
President
Phone
(865) 360-4413

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

436 Pond Promenade
Chanhassen, MN 55317-8307

Mailing address

12511 Portland Ave Apt 118
Burnsville, MN 55337-7508
Phone (865) 360-4413

Other names 1

  • Dentistry on the Ponds P.L.L.C. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Website Direct

National Provider Directory

National Provider Directory

Locations

436 Pond Promenade
Chanhassen, MN 55317
Phone (952) 906-0200

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": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1952049074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 PORTLAND AVE APT 118",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377508",
            "telephone_number": "865-360-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 POND PROMENADE",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178307",
            "telephone_number": "952-906-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF THE PONDS P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MONIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-360-4413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Website",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "436 Pond Promenade",
            "city": "Chanhassen",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553178307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dentistry on the Ponds P.L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.