ORTHODONTIC CARE SPECIALISTS, PLLC (NPI# 1669894887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669894887 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC CARE SPECIALISTS, PLLC |
| Other Organization Name | ORTHODONTIC CARE SPECIALISTS |
| Practice Address |
4980 W. 77th St. Edina MN 55436 |
| Mailing Address |
14605 Glazier Ave. S. Apple Valley MN 55124 |
| Practice Telephone | 9529201373 |
| Mailing Telephone | 9524321103 |
| Mailing Fax Number | 9528918678 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |
| Authorized Official Name | DR. MARK ROGER KAUPPI (SENIOR DOCTOR LEADER) |
| Authorized Official Telephone | 9524321103 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHLAND DENTAL PARTNERS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Orthodontic Care Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649692864 | Orthodontic Care Specialists, Pllc | Dentist | 20143 Idealic Ave., Lakeville, MN 55044 | 2014-01-07 |
| 1669894986 | Orthodontic Care Specialists, Pllc | Dentist | 7600 Sunwood Dr. N.w., Ramsey, MN 55303 | 2014-01-07 |
| 1669817557 | Orthodontic Care Specialists, Pllc | Dentist | 1375 Saint Anthony Ave, Saint Paul, MN 55104-4005 | 2013-05-06 |
| 1982961942 | Orthodontic Care Specialists, Pllc | Dentist | 14605 Glazier Ave, Apple Valley, MN 55124-7545 | 2012-04-16 |
| Street Address |
4980 W. 77TH ST. |
| City | EDINA |
| State | MN |
| Zip Code | 55436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| 1972514693 | Freedom Acquisition Company | Durable Medical Equipment & Medical Supplies | 5100 Eden Avenue, Suite 204, Edina, MN 55436 | 2006-08-10 |
| Find all providers in zip 55436 | ||||
| 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 |
|---|---|---|---|---|
| 1871837708 | Dentalign, P.a | Dentist | 4630 Edgebrook Pl, Edina, MN 55424-1152 | 2012-11-15 |
| 1447506571 | Gerald D. Cavanaugh & William F. Liljemark | Dentist | 3939 W. 50th St, Suite #207, Edina, MN 55424-1258 | 2012-07-26 |
| 1356586804 | Stanley P. Williamson, D.d.s., P.a. | Dentist | 5101 Vernon Ave S Ste 502, Edina, MN 55436-2169 | 2008-12-12 |
| 1649424904 | Minnesota Orthodontics and Dentofacial Orthopedics Pa | Dentist | 7149 France Ave S, Edina, MN 55435-4304 | 2008-11-12 |
| 1215157631 | Gary Alan Bolmgren | Dentist | 381 Southdale Medical Center, 6545 France Ave. S., Edina, MN 55435-2121 | 2007-04-26 |
| 1477658359 | Scott Robert Bowlby | Dentist | 3939 W 50th St Ste 207, Edina, MN 55424-1258 | 2006-09-14 |
| 1124120415 | William B Colby | Dentist | 7373 France Ave S Ste 504, Edina, MN 55435-4549 | 2006-09-05 |
| 1457979031 | Centennial Lakes Orthodontics Pllc | Dentist | 7373 France Ave S Ste 400, Edina, MN 55435-4549 | 2020-07-09 |
| 1396089298 | Pan Orthodontic Clinics | Dentist | 5101 Vernon Ave S, Suite 502, Edina, MN 55436-2172 | 2012-11-15 |
| 1821345968 | Yu Pan | Dentist | 5101 Vernon Ave S, Suite 502, Edina, MN 55436-2172 | 2012-08-08 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on ORTHODONTIC CARE SPECIALISTS, PLLC.
| 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.