NPIMap

Organization Active NPI

Regents of the University of Minnesota

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1962520577
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Practice address
515 Delaware St SE
6-296 Moos Tower
Minneapolis, MN 55455-0357
Phone
(612) 625-5945
NPI assigned
Mar 26, 2007
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Dr. Gary Carl Anderson, DDS
Title
Dean, Uofmn School of Dentistry
Phone
(612) 626-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

515 Delaware St SE
6-296 Moos Tower
Minneapolis, MN 55455-0357

Mailing address

515 Delaware St SE
7-530 Moos Tower
Minneapolis, MN 55455-0357
Phone (612) 625-5945

Other identifiers 3

IdentifierTypeStateIssuer
04-09573OtherMNMEDICA
1022170OtherMNPREFERRED ONE
126084OtherMNUCARE MN

Other names 1

  • Cleft Palate Craniofacial Anomalies Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Minnesota33 organizations share this tax ID, including this one
Part of
University of Minnesota

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners & affiliated clinicians

Practitioners 1

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1962520577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "7-530 MOOS TOWER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357",
            "telephone_number": "612-625-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "6-296 MOOS TOWER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357",
            "telephone_number": "612-625-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MINNESOTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF MINNESOTA",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "DEAN, UOFMN SCHOOL OF DENTISTRY",
        "authorized_official_telephone_number": "612-626-6529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "04-09573",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1022170",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "126084",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleft Palate Craniofacial Anomalies Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 2016; 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.