Organization Active NPI

Dakota Family Dentistry PLLC

  • Dental Clinic/Center
  • Inver Grove Heights, MN
National Provider Identifier
1982241493
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAKOTA FAMILY DENTISTRY PLLC
Practice address
5766 Blackshire Path
Inver Grove Heights, MN 55076-2441
Phone
(651) 457-8866
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Christina Van Guilder, DDSNPI 1952500779
Title
Partner/Dentist
Phone
(651) 457-8866

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5766 Blackshire Path
Inver Grove Heights, MN 55076-2441

Mailing address

230 Wentworth Ave E
West Saint Paul, MN 55118-3525
Phone (651) 457-8866

National Provider Directory

National Provider Directory

Locations

5766 Blackshire Path
Inver Grove Heights, MN 55076
Phone (651) 457-6686

230 Wentworth Ave E
West St Paul, MN 55118
Phone (651) 457-8866

Practitioners & affiliated clinicians

Practitioners 3

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": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1982241493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WENTWORTH AVE E",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "651-457-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5766 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762441",
            "telephone_number": "651-457-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "VAN GUILDER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "651-457-8866",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

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