Organization Active NPI

Alpha Design Build Group, Inc.

  • Home Modifications Contractor
  • Burnsville, MN
National Provider Identifier
1972151561
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
ALPHA DESIGN BUILD GROUP, INC.
Practice address
108 Crystal Lake Rd W
Burnsville, MN 55306-5027
Phone
(612) 290-5230
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
James Patrick Wiles
Title
Owner
Phone
(612) 290-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

108 Crystal Lake Rd W
Burnsville, MN 55306-5027

Mailing address

108 Crystal Lake Rd W
Burnsville, MN 55306-5027
Phone (612) 290-5230

Other names 1

  • Alpha Design Build Group, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1972151561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CRYSTAL LAKE RD W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065027",
            "telephone_number": "612-290-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CRYSTAL LAKE RD W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065027",
            "telephone_number": "612-290-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DESIGN BUILD GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-290-5230"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Design Build Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.