NPIMap

Organization Active NPI

Ridgeview Clinics

Doing business as Minnesota Otolaryngology

  • Otolaryngology Physician
  • Excelsior, MN
National Provider Identifier
1982756490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25217 Issued in MN
Legal business name
RIDGEVIEW CLINICS
Doing business as
Minnesota Otolaryngology
Practice address
675 Water St
Excelsior, MN 55331-3063
Phone
(952) 495-2000
Fax
(952) 495-2060
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristi Besse
Title
Operations MGR
Phone
(952) 495-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 25217 MN Primary

Addresses

Primary practice location

675 Water St
Excelsior, MN 55331-3063

Mailing address

675 Water St
Excelsior, MN 55331-3063
Phone (952) 495-2000

Other names 1

  • Minnesota Otolaryngology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Clinics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

675 Water St
Excelsior, MN 55331
Phone (952) 906-7855

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982756490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WATER ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313063",
            "telephone_number": "952-495-2000",
            "fax_number": "952-495-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WATER ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313063",
            "telephone_number": "952-495-2000",
            "fax_number": "952-495-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BESSE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "952-495-2000"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "25217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Otolaryngology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.