DR. NICOLE LEIGH TRIPP (NPI# 1205273042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205273042 |
| Entity Type | Individual |
| Full Name | DR. NICOLE LEIGH TRIPP |
| Credential | D.D.S. |
| Practice Address |
57 Birch Ave S Maple Lake MN 55358-4570 |
| Practice Telephone | 3209633794 |
| Mailing Telephone | 3209633794 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13234 | MN | Dental Providers |
| Street Address |
57 BIRCH AVE S |
| City | MAPLE LAKE |
| State | MN |
| Zip Code | 55358-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932285764 | Dennis Leroy Quinlan | Dentist | 57 Birch Ave S, Maple Lake, MN 55358-0371 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063874600 | Jane Goodall Environmental Sciences Academy | Local Education Agency (LEA) | 8008 83rd St. Nw, Maple Lake, MN 55358 | 2016-03-23 |
| 1629328299 | Healthstat Arkansas/pace Ind.- Pti | Preventive Medicine | 310 Congress St. W, Maple Lake, MN 55358 | 2012-09-11 |
| 1477876845 | Bonnyview Services LLC | Contractor | 7144 Gowan Ave Nw, Maple Lake, MN 55358 | 2010-03-12 |
| 1376704122 | Julie Marie Haegele | Licensed Practical Nurse | 4986 Cty Rd 6 Nw, Annadale, MN 55358 | 2008-06-24 |
| 1790997260 | Essential Kare, Inc. | Nursing Care | 6543 117th St Nw, Maple Lake, MN 55358 | 2007-05-04 |
| 1831275809 | Virgina Rae Shinabarger | Chiropractor | 121 Division, Maple Lake, MN 55358 | 2006-10-31 |
| 1063596344 | Terry Ann Kisner | Chiropractor | 121 Division St., Maple Lake, MN 55358 | 2006-10-24 |
| 1245321520 | Dimensions In Recovery | Clinic/Center | 33 Birch Ave., Maple Lake, MN 55358 | 2006-09-28 |
| 1760587109 | Maple Lake Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 207 Division St. E, Maple Lake, MN 55358 | 2006-09-13 |
| 1316015290 | Independent School District #881 | Local Education Agency (LEA) | 200 State Highway 55 East, Box 820, Maple Lake, MN 55358-0820 | 2006-12-01 |
| Find all providers in zip 55358 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE LAKE |
| Zip Code | 55358 |
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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.