ORTHODONTIC CARE GROUP (NPI# 1043300262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043300262 |
Entity Type | Organization |
Organization Name | ORTHODONTIC CARE GROUP |
Other Organization Name | ORTHODONTIC CARE SPECIALISTS LTD |
Practice Address |
14605 Glazier Ave. S. Apple Valley MN 55124 |
Mailing Address |
14605 Glazier Ave S Apple Valley MN 55124 |
Practice Telephone | 9524321103 |
Practice Fax Number | 9528918678 |
Mailing Telephone | 9524321103 |
Mailing Fax Number | 9528918678 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2008-07-08 |
Authorized Official Name | DR. TIMOTHY JAMES MONTGOMERY (PRESIDENT) |
Authorized Official Telephone | 9524321103 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Other Name | Type Code |
---|---|
Orthodontic Care Specialists Ltd | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316062557 | Orthodontic Care Group | Dentist | 14455 South Robert Trail, Inver Grove Heights, MN 55068 | 2007-03-20 |
1982728333 | Orthodontic Care Group | Dentist | 1275 Ramsey St, Shakopee, MN 55379-3133 | 2007-03-19 |
1609990449 | Orthodontic Care Group | Dentist | 310 Division St, Farmington, MN 55024-1233 | 2007-03-19 |
1396869863 | Orthodontic Care Group | Dentist | 4886 Highway 61 N, White Bear Lake, MN 55110-2857 | 2007-03-19 |
1992820153 | Orthodontic Care Group | Dentist | 3401 Wooddale Ave S, St Louis Park, MN 55416-2340 | 2007-03-20 |
1215051081 | Orthodontic Care Group | Dentist | 2215 Vine St, Hudson, WI 54016-5802 | 2007-03-19 |
1497879951 | Orthodontic Care Group | Dentist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2007-03-19 |
1679697148 | Orthodontic Care Group | Dentist | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2007-03-19 |
1588788053 | Orthodontic Care Group | Dentist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2007-03-19 |
1801910377 | Orthodontic Care Group | Dentist | 11806 Aberdeen St Ne, Blaine, MN 55449-4736 | 2007-03-19 |
Street Address |
14605 GLAZIER AVE. S. |
City | APPLE VALLEY |
State | MN |
Zip Code | 55124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
Find all providers in zip 55124 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952958258 | Joseph Hourany | Dentist | 14730 Genesee Rd, Apple Valley, CA 92307-5020 | 2019-08-21 |
1659814440 | Andrew Taylor | Dentist | 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 | 2016-11-28 |
1639400443 | Monica Velez | Dentist | 19195 Outer Highway 18, 101, Apple Valley, CA 92307 | 2010-01-18 |
1336293026 | Paul B. Gersmeyer | Dentist | 14605 Glazier Ave, Apple Valley, MN 55124-7545 | 2007-01-22 |
1568539898 | Ronald J Snyder | Dentist | 14065 Essex Ave., Apple Valley, MN 55124-6404 | 2006-11-30 |
1417202417 | Estee P Wang | Dentist | 14605 Glazier Ave, Apple Valley, MN 55124-7545 | 2012-07-17 |
1982961942 | Orthodontic Care Specialists, Pllc | Dentist | 14605 Glazier Ave, Apple Valley, MN 55124-7545 | 2012-04-16 |
1417242504 | Monica Velez Dmd Inc | Dentist | 16127 Kasota Rd, Suite 104, Apple Valley, CA 92307-2204 | 2011-06-16 |
1528226156 | Erickson/aamodt Orthodontics Pa | Dentist | 7493 147th St W, Suite 202, Apple Valley, MN 55124-4505 | 2008-05-30 |
1841470457 | Steven R. Brown Dds Msd PC | Dentist | 16127 Kasota Rd, Suite 104, Apple Valley, CA 92307-2204 | 2007-11-12 |
Find all providers in APPLE VALLEY |
City | APPLE VALLEY |
Zip Code | 55124 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.