MSP DENTISTRY INC (NPI# 1124544895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124544895 |
| Entity Type | Organization |
| Organization Name | MSP DENTISTRY INC |
| Other Organization Name | TWIN CITIES DENTAL |
| Practice Address |
13650 Hanson Blvd. Suite #110 Andover MN 55304 |
| Practice Telephone | 7634217900 |
| Practice Fax Number | 7634217916 |
| Mailing Telephone | 7634217900 |
| Mailing Fax Number | 7634217916 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | MAJID FEHRESTI (OWNER/DDS) |
| Authorized Official Telephone | 7634217900 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | MSP DENTISTRY INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | D12034 | MN | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Twin Cities Dental | Doing Business As Name - Organization |
| Street Address |
13650 HANSON BLVD. SUITE #110 |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| 1871755207 | Mary Elizabeth Ruprecht | Occupational Therapist | 13983 Magnolia St Nw, Andover, MN 55304 | 2008-06-26 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1063958247 | Always Best Care | Preferred Provider Organization | 331 Maple Street, Suite 2, Saint Paul, MN 55106 | 2017-01-12 |
| 1417493990 | Suado Hirsi Dirir | Preferred Provider Organization | 2605 Bloomington Ave, Minneapolis, MN 55407-1137 | 2017-01-09 |
| 1699226829 | Hibaq Warsame | Preferred Provider Organization | 3655 Girard Ave N, Minneapolis, MN 55412-2020 | 2016-10-24 |
| 1174077572 | Homecare Options Inc | Preferred Provider Organization | 610 Mcknight Rd S, Maplewood, MN 55119-5672 | 2016-08-15 |
| 1912355132 | Lifestyle Living Home Care LLC | Preferred Provider Organization | 1 W Lake St Apt 404, Minneapolis, MN 55408-3153 | 2016-05-27 |
| 1306207113 | Paul Perpich, Dds | Preferred Provider Organization | 5461 City Hall St, Nisswa, MN 56468-2478 | 2016-03-08 |
| 1619334281 | Perfection Care Associates LLC | Preferred Provider Organization | 1810 Columbus Ave, Minneapolis, MN 55404-1961 | 2016-01-27 |
| 1699132068 | Best Home Health Care Service LLC | Preferred Provider Organization | 6040 Clinton Ave, Minneapolis, MN 55419-2539 | 2016-01-15 |
| 1003271651 | Bosaso Translation Services & Interpretation | Preferred Provider Organization | 515 North Riverfront St, Suite #120, Mankato, MN 56001 | 2015-12-28 |
| Find all providers with the same taxonomy | ||||
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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.