DR. JOSEPH SHAUN HICKEN (NPI# 1336114644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336114644 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH SHAUN HICKEN |
| Credential | D.D.S., M.S. |
| Practice Address |
6601 Lyndale Ave S Suite 240 Richfield MN 55423-2477 |
| Practice Telephone | 6128698834 |
| Practice Fax Number | 6126381287 |
| Mailing Telephone | 6128698834 |
| Mailing Fax Number | 6126381287 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11311 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154439552 | Joseph Thomas Hicken | Dentist | 723 Ridge Road, Wilmette, IL 60091-2443 | 2006-08-26 |
| Street Address |
6601 LYNDALE AVE S SUITE 240 |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336863 | Jesse Elaine Olson | Nurse Practitioner | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2019-10-01 |
| 1134637457 | Downtown Eyes Crosstown Pllc | Ophthalmology | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2018-01-22 |
| 1083083323 | Micah Chan | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-09-16 |
| 1356724975 | Benjamin David Larson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-07-01 |
| 1689076432 | Laura Richardson | Physical Therapist | 6601 Lyndale Ave S, #105, Richfield, MN 55423 | 2014-09-24 |
| 1962785881 | Mary C Nolan | Nurse Practitioner | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2011-09-27 |
| 1558689778 | Andrew Esten | Internal Medicine | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2010-05-12 |
| 1003043175 | Rebecca Leigh Benson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2009-06-16 |
| 1639356785 | Jan Mari Young | Physical Therapy Assistant | 6601 Lyndale Ave S, 105, Richfield, MN 55423-2477 | 2008-01-30 |
| 1629277082 | Perspectives Optometric Vision Clinic, PC | Optometrist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2007-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
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| 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 |
|---|---|---|---|---|
| 1629254552 | Trenton Dayle Thalman | Dentist | 130 E 600 N, Richfield, UT 84701 | 2008-01-10 |
| 1104046614 | Hugh John Murdoch | Dentist | 6519 Nicollet Avenue South, Suite 304, Richfield, MN 55423 | 2007-04-26 |
| 1053480368 | Roger J Oldroyd | Dentist | 490 North Main, Richfield, UT 84701 | 2006-11-08 |
| 1346345238 | William Frank Liljemark | Dentist | 1537 E 66th St # 100, Richfield, MN 55423-2663 | 2006-09-14 |
| 1538336870 | Richard L. Barnett | Dentist | 150 E 200 N, Richfield, UT 84701-2144 | 2008-05-15 |
| 1669655890 | Richfield Orthodontic Associates | Dentist | 1537 E 66th St, Suite 100, Richfield, MN 55423-2663 | 2007-12-11 |
| 1447350509 | Family Orthodontic Specialists Plc | Dentist | 6601 Lyndale Ave S, Suite 240, Richfield, MN 55423-2477 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
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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.