NPIMap

Organization Active NPI

Minnesota Orthodontics and Dentofacial Orthopedics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hastings, MN
National Provider Identifier
1962645051
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10244 Issued in MN
Legal business name
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Practice address
1745 N Frontage Rd
Hastings, MN 55033-3490
Phone
(651) 450-7273
NPI assigned
Apr 20, 2009
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Rebecca Craig
Title
Financial Coord
Phone
(651) 750-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10244 MN Primary

Addresses

Primary practice location

1745 N Frontage Rd
Hastings, MN 55033-3490

Mailing address

955 Highway 55
Hastings, MN 55033-2365
Phone (651) 450-7273

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Orthodontics6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1745 N Frontage Rd
Hastings, MN 55033

955 Highway 55
Hastings, MN 55033

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1962645051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HIGHWAY 55",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332365",
            "telephone_number": "651-450-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N FRONTAGE RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333490",
            "telephone_number": "651-450-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FINANCIAL COORD",
        "authorized_official_telephone_number": "651-750-7273"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "10244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.