MAXILLOFACIAL IMAGING LLC (NPI# 1477712008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477712008 |
| Entity Type | Organization |
| Organization Name | MAXILLOFACIAL IMAGING LLC |
| Other Organization Name | ADVANCED HEAD & NECK IMAGING |
| Practice Address |
2860 Snelling Ave N Suite 2 Roseville MN 55113-1438 |
| Practice Telephone | 6516363050 |
| Mailing Telephone | 6516363050 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | JANE ROACH (MANAGER) |
| Authorized Official Telephone | 6516363050 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Head & Neck Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679732119 | Maxillofacial Imaging LLC | Clinic/Center | 13998 Maple Knoll Way, Maple Grove Professional Bld Suite Ll105, Maple Grove, MN 55369-7004 | 2008-06-09 |
| Street Address |
2860 SNELLING AVE N SUITE 2 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528194677 | Deborah L Fung | Dentist | 2860 Snelling Ave N, Suite 1, Roseville, MN 55113-1438 | 2007-02-25 |
| 1912033077 | Designing Smiles, Pa | Dentist | 2860 Snelling Ave N, Suite 1, Roseville, MN 55113-1438 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629027594 | Suburban Radiologic Consultants, Ltd. | Clinic/Center | 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-5511 | 2006-05-09 |
| 1336598093 | Maxview, Inc | Clinic/Center | 1830 Sierra Gardens Dr, Suite 30, Roseville, CA 95661-2942 | 2016-06-03 |
| 1629119649 | Eastland Diagnostic PC | Clinic/Center | 25710 Kelly Rd, Roseville, MI 48066-4959 | 2007-02-11 |
| 1821028200 | Dignity Health Medical Foundation | Clinic/Center | 2110 Professional Dr, Suite 190, Roseville, CA 95661-3752 | 2006-07-03 |
| 1427008937 | Suburban Imaging, LLC | Clinic/Center | 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
| 1740519933 | Mri School of Minnesota, LLC | Clinic/Center | 6053 Hudson Rd Ste 265, Woodbury, MN 55125-1000 | 2009-12-17 |
| 1093994030 | Children's Health Care | Clinic/Center | 2525 Chicago Ave. S., Minneapolis, MN 55404-4518 | 2007-10-26 |
| 1679601553 | Stand Up Mid America Mri, P.a. | Clinic/Center | 604 Lilac Dr N, Suite 100, Golden Valley, MN 55422-4610 | 2007-03-01 |
| 1184675670 | Cardiac Evaluation Services Inc | Clinic/Center | 8441 Wayzata Blvd, Golden Valley, MN 55426 | 2006-05-12 |
| 1194725044 | Arrowhead Consultation Service Ltd | Clinic/Center | 415 Se 13th St, Suite 101, Grand Rapids, MN 55744-4248 | 2005-07-21 |
| 1396748307 | Lifescan Minnesota LLC | Clinic/Center | 3955 Parklawn Ave, Ste 110, Edina, MN 55435-5657 | 2005-05-23 |
| 1639648348 | St Joseph's Medical Center | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2018-11-26 |
| 1154834091 | Noble Imaging Center, LLC | Clinic/Center | 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | 2017-11-14 |
| 1538602008 | Us Health Imaging LLC | Clinic/Center | 8053 E Bloomington Fwy, Suite 450, Bloomington, MN 55420-4577 | 2016-11-30 |
| 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.