Organization Active NPI

Up North Dental

  • Dentist
  • Nashwauk, MN
National Provider Identifier
1982933396
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12664 Issued in MN
Legal business name
UP NORTH DENTAL
Practice address
210 Central Ave
Nashwauk, MN 55769-1130
Phone
(218) 885-9921
Fax
(218) 885-9924
NPI assigned
Dec 14, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Charity Jean Specht, D.D.S.NPI 1437385234
Title
Dentist
Phone
(218) 885-9921

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

210 Central Ave
Nashwauk, MN 55769
Phone (218) 885-9921

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D12664 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

210 Central Ave
Nashwauk, MN 55769-1130

Mailing address

210 Central Ave
Nashwauk, MN 55769-1130
Phone (218) 885-9921

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2016.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1982933396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CENTRAL AVE",
            "city": "NASHWAUK",
            "state": "MN",
            "postal_code": "557691130",
            "telephone_number": "218-885-9921",
            "fax_number": "218-885-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CENTRAL AVE",
            "city": "NASHWAUK",
            "state": "MN",
            "postal_code": "557691130",
            "telephone_number": "218-885-9921",
            "fax_number": "218-885-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "SPECHT",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "218-885-9921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashwauk, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.