NPIMap

Organization Active NPI

Valley Creek Family Dentistry

  • General Practice Dentistry
  • Woodbury, MN
National Provider Identifier
1972760098
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10284 Issued in MN
Legal business name
VALLEY CREEK FAMILY DENTISTRY
Practice address
6949 Valley Creek Rd
Suite 100
Woodbury, MN 55125
Phone
(651) 731-1054
Fax
(651) 731-2183
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Jill Marie Ash, DDSNPI 1780764076
Title
Dentist President
Phone
(651) 731-1054

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10284 MN Primary

Addresses

Primary practice location

6949 Valley Creek Rd
Suite 100
Woodbury, MN 55125

Mailing address

6949 Valley Creek Rd
Suite 100
Woodbury, MN 55125
Phone (651) 731-1054

National Provider Directory

National Provider Directory

Locations

6949 Valley Creek Rd
Ste 100
Woodbury, MN 55125
Phone (651) 731-1054

Practitioners & affiliated clinicians

Practitioners 2

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1972760098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 VALLEY CREEK RD",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-731-1054",
            "fax_number": "651-731-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 VALLEY CREEK RD",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-731-1054",
            "fax_number": "651-731-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "651-731-1054",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.