Taylor J. Stephens, D.D.S, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D12818 Issued in MN

Legal business name

TAYLOR J. STEPHENS, D.D.S, P.A.

Practice address

250 Central Ave N
Suite 113
Wayzata, MN 55391-1206

Phone

(952) 475-3135

NPI assigned

Feb 18, 2013

Organization subpart

No

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

Authorized official

Name

Taylor J Stephens, D.D.S

Title

President/Owner

Phone

(952) 475-3135

Specialties & licenses 1

Addresses

Other names 1

• Tailwind Pediatric Dentistry Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Richfield Pediatric Dentistry, P.a.

  • Dental Clinic/Center
  • Richfield, MN
  • NPI 1063752483
  NPPES parent name

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1962742650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 113",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-475-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 113",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-475-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR J. STEPHENS, D.D.S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-475-3135",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tailwind Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christa Lee Suerken, PSY.D., L.P.
• Gwendolyn F Svenvold, PHARM D
• Abby Rose Swandal, LADC, LAMFT
• Marcia Mae Swanson, L.AC.
• Tamber Health of Minnesota, P.C.
• Kenneth Floyd Tempero, MD, PHD
• Amanda Kay Templeton, LMT
• Frank C Thayer, LAMFT, LADC
• The Brost Clinic, PA
• The Eye Doctors Office, PA

• Dental Clinic/Center in Wayzata, MN
• Providers in Wayzata, 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 Jan 14, 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.