NPIMap

Organization Active NPI

Raintree Dental

  • General Practice Dentistry
  • Dayton, MN
National Provider Identifier
1992847453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10574 Issued in MN
Legal business name
RAINTREE DENTAL
Practice address
13551 Balsam LN
Dayton, MN 55327
Phone
(763) 422-1714
Fax
(763) 712-5754
NPI assigned
Feb 13, 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
Dr. Patrick Anthony Aydt, DDSNPI 1265651038
Title
Owner
Phone
(763) 422-1714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D10574 MN Primary

Addresses

Primary practice location

13551 Balsam LN
Dayton, MN 55327

Mailing address

13551 Balsam LN
Dayton, MN 55327
Phone (763) 422-1714

National Provider Directory

National Provider Directory

Locations

13551 Balsam Ln N
Dayton, MN 55327
Phone (763) 422-1714

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992847453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13551 BALSAM LN",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "55327",
            "telephone_number": "763-422-1714",
            "fax_number": "763-712-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13551 BALSAM LN",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "55327",
            "telephone_number": "763-422-1714",
            "fax_number": "763-712-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINTREE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYDT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-422-1714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, 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.