NPIMap

Organization Active NPI

Dental Health Care Center PA

  • Dentist
  • Richfield, MN
National Provider Identifier
1952467615
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11577 Issued in MN
Legal business name
DENTAL HEALTH CARE CENTER PA
Practice address
1717 East 66TH Street
Richfield, MN 55423-2722
Phone
(612) 861-7109
Fax
(612) 253-7422
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Dr. John Michael Woell, DDSNPI 1922196294
Title
General Dentist Corp President
Phone
(612) 861-7109

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D11737 MN
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D8740 MN
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D11577 MN Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D8581 MN

Addresses

Primary practice location

1717 East 66TH Street
Richfield, MN 55423-2722

Mailing address

1717 East 66TH Street
Richfield, MN 55423-2722
Phone (612) 861-7109

National Provider Directory

National Provider Directory

Locations

1717 E 66th St
Richfield, MN 55423
Phone (612) 861-7109

Practitioners & affiliated clinicians

Practitioners 4

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1952467615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 EAST 66TH STREET",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232722",
            "telephone_number": "612-861-7109",
            "fax_number": "612-253-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 EAST 66TH STREET",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232722",
            "telephone_number": "612-861-7109",
            "fax_number": "612-253-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "WOELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL DENTIST CORP PRESIDENT",
        "authorized_official_telephone_number": "612-861-7109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11737",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8740",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11577",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.