Organization Active NPI

WLD Implants

  • Dentist
  • Chaska, MN
National Provider Identifier
1972372423
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WLD IMPLANTS
Practice address
130 Pioneer TRL
Chaska, MN 55318-1167
Phone
(952) 361-3740
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Stephanie Lynn Miner, DDSNPI 1750470068
Title
Owner/President
Phone
(612) 387-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

130 Pioneer TRL
Chaska, MN 55318-1167

Mailing address

1635 Sunnybrook Cir
Minnetrista, MN 55364-1276
Phone (612) 387-5009

National Provider Directory

National Provider Directory

Locations

130 Pioneer Trl
Chaska, MN 55318
Phone (952) 361-3740

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": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1972372423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SUNNYBROOK CIR",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553641276",
            "telephone_number": "612-387-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PIONEER TRL",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181167",
            "telephone_number": "952-361-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLD IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "612-387-5009",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.