CHILDREN'S DENTAL CARE SPECIALISTS (NPI# 1265554075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265554075 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTAL CARE SPECIALISTS |
| Other Organization Name | KID GRINS PEDIATRIC DENTISTRY |
| Practice Address |
7450 France Ave S Suite 250 Edina MN 55435-4787 |
| Practice Telephone | 9529255334 |
| Mailing Telephone | 9529255334 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | DR. AMEY L SEVERSON (OWNER) |
| Authorized Official Telephone | 9529255334 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D12014 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kid Grins Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
7450 FRANCE AVE S SUITE 250 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226739 | Paula L. Schwartz | Audiologist | 7450 France Ave S, Ste 280, Edina, MN 55435-4828 | 2005-06-28 |
| 1114333754 | Fairview Health Services | Obstetrics & Gynecology | 7450 France Ave S, Suite 240, Edina, MN 55435-4792 | 2014-07-03 |
| 1831411321 | Brian J. Kobienia, Md, Pa | Clinic/Center | 7450 France Ave S, Suite 220, Edina, MN 55435-4787 | 2010-02-24 |
| 1437471927 | Mark R Migliori, Md, Pa | Clinic/Center | 7450 France Ave S, Suite 220, Edina, MN 55435-4787 | 2010-02-24 |
| 1881916377 | J. Bart Muldowney Md, Pa | Clinic/Center | 7450 France Ave S, Suite 220, Edina, MN 55435-4787 | 2010-02-24 |
| 1427293687 | Maps Applied Research Center, Inc. | Specialist | 7450 France Ave S, Suite 265, Edina, MN 55435-4787 | 2008-12-02 |
| 1598940884 | Mary Ellen Bezek Heard | Nurse Practitioner | 7450 France Ave S, Suite 240, Edina, MN 55435-4787 | 2008-01-04 |
| 1306025275 | Minnesota Gynecology & Surgery | Clinic/Center | 7450 France Ave S, Suite 240, Edina, MN 55435-4787 | 2007-10-29 |
| 1538387733 | Metropolitan Urology Clinic Pa | Clinic/Center | 7450 France Ave S, Suite 250, Edina, MN 55435 | 2007-04-23 |
| 1568596716 | Bradley L Pearson | Dentist | 7450 France Ave S, Suite 270, Edina, MN 55435-4787 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710367925 | Lindsay Bedeaux | Dentist | 7373 France Ave S Ste 400, Edina, MN 55435-4549 | 2015-06-02 |
| 1699868604 | Adena Fern Borodkin | Dentist | 5128 Tifton Dr, Edina, MN 55439-1457 | 2006-10-02 |
| 1306853437 | Affiliated Pediatric Dentists Pa | Dentist | 7373 France Ave So, Suite 402, Edina, MN 55435-4598 | 2006-08-02 |
| 1659594026 | Stephen R Nelson | Dentist | 6545 France Ave S, Suite 500, Edina, MN 55435-2131 | 2007-04-11 |
| 1992808588 | Thekla Kirschbaum Swanson | Dentist | 7373 France Ave So, Suite 402, Edina, MN 55435-4598 | 2006-09-07 |
| 1487769139 | Pamela Ruth Erickson | Dentist | 7373 France Ave So, Suite 402, Edina, MN 55435-4598 | 2006-08-21 |
| 1841303609 | Daniel Wayne Shaw | Dentist | 7373 France Ave So, Suite 402, Edina, MN 55435-4598 | 2006-08-16 |
| 1841303526 | Gayathri Sambasivan | Dentist | 7373 France Ave So, Suite 402, Edina, MN 55435-4598 | 2006-08-16 |
| 1346250719 | Mark Edward Greenwood | Dentist | 7373 France Ave S, Suite 402, Edina, MN 55435-4598 | 2006-08-09 |
| 1699783860 | Sally Walker Schuette | Dentist | 7373 France Ave So, Suite 402, Edina, MN 55435-4598 | 2006-08-04 |
| Find all providers in EDINA | ||||
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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.