Minnesota Sleep and Wellness LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MINNESOTA SLEEP AND WELLNESS LLC

Practice address

15600 36TH Ave N Ste 270a
Plymouth, MN 55446-3369

Phone

(763) 231-5865

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jack Baldwin, DDS

Title

Owner

Phone

(209) 380-5486

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1952965949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26626 BROOKS CIR",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811459",
            "telephone_number": "209-380-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N STE 270A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463369",
            "telephone_number": "763-231-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SLEEP AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-380-5486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.