Active NPI
Up North Dental
- Dentist
- Nashwauk, MN
National Provider Identifier
1982933396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12664
- 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.
- 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 DirectoryLocations
210 Central Ave
Nashwauk, MN 55769
Phone (218) 885-9921
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D12664 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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.