ORTHODONTIC CARE GROUP (NPI# 1609990449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609990449 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC CARE GROUP |
| Other Organization Name | ORTHODONTIC CARE SPECIALISTS |
| Practice Address |
310 Division St Farmington MN 55024-1233 |
| Mailing Address |
14605 Glazier Ave Apple Valley MN 55124-7545 |
| Practice Telephone | 6514632800 |
| Mailing Telephone | 9524321103 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KARIE T GRADEN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9524321103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
========= | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Orthodontic Care Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316062557 | Orthodontic Care Group | Dentist | 14455 South Robert Trail, Inver Grove Heights, MN 55068 | 2007-03-20 |
| 1982728333 | Orthodontic Care Group | Dentist | 1275 Ramsey St, Shakopee, MN 55379-3133 | 2007-03-19 |
| 1396869863 | Orthodontic Care Group | Dentist | 4886 Highway 61 N, White Bear Lake, MN 55110-2857 | 2007-03-19 |
| 1043300262 | Orthodontic Care Group | Dentist | 14605 Glazier Ave. S., Apple Valley, MN 55124 | 2006-10-16 |
| 1992820153 | Orthodontic Care Group | Dentist | 3401 Wooddale Ave S, St Louis Park, MN 55416-2340 | 2007-03-20 |
| 1215051081 | Orthodontic Care Group | Dentist | 2215 Vine St, Hudson, WI 54016-5802 | 2007-03-19 |
| 1497879951 | Orthodontic Care Group | Dentist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2007-03-19 |
| 1679697148 | Orthodontic Care Group | Dentist | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2007-03-19 |
| 1588788053 | Orthodontic Care Group | Dentist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2007-03-19 |
| 1801910377 | Orthodontic Care Group | Dentist | 11806 Aberdeen St Ne, Blaine, MN 55449-4736 | 2007-03-19 |
| Street Address |
310 DIVISION ST |
| City | FARMINGTON |
| State | MN |
| Zip Code | 55024-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
| 1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
| 1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| 1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
| 1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
| 1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
| 1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
| 1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
| Find all providers in zip 55024 | ||||
| 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 |
|---|---|---|---|---|
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1871902593 | Sundance Orthodontics LLC | Dentist | 3903 Beckland Dr, Farmington, NM 87402-4701 | 2014-08-06 |
| 1417246562 | Dr. Joseph A. Wilson Dmd, Msd, LLC | Dentist | 4760 N Butler Ave Ste A, Farmington, NM 87401-0816 | 2011-03-29 |
| 1144460486 | Ernest Lee Stromeyer | Dentist | 2200 E 20th St, Farmington, NM 87401-8904 | 2009-02-26 |
| 1972748747 | Derek Jay Graff | Dentist | 3180 N Butler Ave Ste 200, Farmington, NM 87401-2336 | 2008-12-09 |
| 1780892414 | Justin Tyler Brown | Dentist | 670 Shepard Ln Ste 105, Farmington, UT 84025-3936 | 2007-05-18 |
| 1194853044 | C. Michael Beck | Dentist | 5605 La Veta Dr, Farmington, NM 87402-4911 | 2007-03-01 |
| 1710029632 | Rodney Kent Rhodes | Dentist | 130 Westmount Drive, Farmington, MO 63640 | 2007-02-14 |
| 1790822476 | David Michael Verlinich | Dentist | 303 Canyonview Dr, Farmington, NM 87401-8629 | 2007-01-31 |
| 1184632960 | Justin T Brown Dds PC | Dentist | 670 W Shepard Lane, #105, Farmington, UT 84025 | 2006-08-04 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 55024 |
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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.