Angell Family Dentistry, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANGELL FAMILY DENTISTRY, P.A.

Practice address

423 40TH Ave NE
Columbia Heights, MN 55421-3719

Phone

(763) 788-2215

Fax

(763) 788-1199

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David W Angell, DDSNPI 1114013224

Title

President

Phone

(763) 788-2215

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Angell Family Dentistry Doing business as

Locations

Practitioners 1

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

• David William Angell, DDS

  • General Practice Dentistry
  • Columbia Heights, MN
  • NPI 1114013224

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992979207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213719",
            "telephone_number": "763-788-2215",
            "fax_number": "763-788-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213719",
            "telephone_number": "763-788-2215",
            "fax_number": "763-788-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELL FAMILY DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-788-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "824317",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00552AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "7130180-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9927",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angell Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joelle Alstad
• Amani Recovery Care
• Leah Ann Herling Ambrose, CCC-SLP
• Marsue Helleck Anderson, COTA
• My'Easha Marie Anderson
• David William Angell, DDS
• Steven David Angell
• Anoka Professional HH Inc
• Anoka Professional Home Care Inc
• Kiinubah Arte

• All providers in Columbia Heights, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.