DR. ALEX V SHNAYDRUK (NPI# 1306402193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306402193 |
| Entity Type | Individual |
| Full Name | DR. ALEX V SHNAYDRUK |
| Credential | DDS |
| Practice Address |
1220 W 3rd St Rush City MN 55069-9119 |
| Mailing Address |
2393 Molnau Ct Chaska MN 55318-3221 |
| Practice Telephone | 3203584733 |
| Mailing Telephone | 9522614307 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D14213 | MN | Dental Providers |
| Street Address |
1220 W 3RD ST |
| City | RUSH CITY |
| State | MN |
| Zip Code | 55069-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316225824 | Brandon Tyler | Dentist | 1220 W 3rd St, Rush City, MN 55069-9119 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601121 | St Croix River Education District | Local Education Agency (LEA) | 425 South Dana Ave, Rush City, MN 55069 | 2018-12-18 |
| 1992217319 | Marianne Therese Anderson | Registered Nurse | 460 South Eliot Ave., Rush City, MN 55069 | 2017-10-25 |
| 1326566175 | Diane Rose Hardee | Registered Nurse | 460 Sout Eliot Ave., Rush City, MN 55069 | 2017-08-31 |
| 1043686280 | Kathryn Ann Long | Registered Nurse | 460 S. Eliot Ave., Rush City, MN 55069 | 2015-08-11 |
| 1801290507 | Rebecca Kay Allerton | Registered Nurse | 460 S. Ekuit Ave, Rush City, MN 55069 | 2014-10-09 |
| 1174786800 | Nicole Rosanna Perreault | Chiropractor | 263 W 4th Street, Rush City, MN 55069 | 2008-07-02 |
| 1518139203 | Soft Dental | Dentist | 350 Eliot Ave, Rush City, MN 55069 | 2008-04-02 |
| 1912184722 | Teen Focus Recovery Center | Community/Behavioral Health | 475 South Dana Aven, Rush City, MN 55069 | 2008-01-23 |
| 1861536559 | Rush City School District | Local Education Agency (LEA) | 51001 Fairfield Ave, Rush City, MN 55069 | 2007-02-16 |
| 1922181809 | William H E Kieper Dds Pa | Dentist | 780 West 4th Street, Rush City, MN 55069 | 2006-10-23 |
| Find all providers in zip 55069 | ||||
| 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 |
|---|---|---|---|---|
| 1518139203 | Soft Dental | Dentist | 350 Eliot Ave, Rush City, MN 55069 | 2008-04-02 |
| 1295888428 | Tuyen Van Nguyen | Dentist | 350 Eliot Ave., Rush City, MN 55069-0643 | 2007-01-19 |
| 1922181809 | William H E Kieper Dds Pa | Dentist | 780 West 4th Street, Rush City, MN 55069 | 2006-10-23 |
| 1609959675 | William H E Kieper | Dentist | 780 West 4th Street, Rush City, MN 55069 | 2006-10-23 |
| 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 | ||||
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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.