ORTHODONTIC CARE GROUP (NPI# 1679697148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679697148 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC CARE GROUP |
| Other Organization Name | ORTHODONTIC CARE SPECIALISTS |
| Practice Address |
3930 Northwoods Dr Arden Hills MN 55112-6963 |
| Mailing Address |
14605 Glazier Ave Apple Valley MN 55124-7545 |
| Practice Telephone | 6514906732 |
| 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 |
| 1609990449 | Orthodontic Care Group | Dentist | 310 Division St, Farmington, MN 55024-1233 | 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 |
| 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 |
3930 NORTHWOODS DR |
| City | ARDEN HILLS |
| State | MN |
| Zip Code | 55112-6963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978362 | Norma J Cheesebrow | Nurse Practitioner | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6974 | 2006-02-01 |
| 1023620994 | Taylor Chiropractic Pllc | Chiropractor | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2020-08-20 |
| 1730679325 | Nadine Yacoub | Dentist | 3930 Northwoods Dr, Arden Hills, MN 55112 | 2018-05-18 |
| 1790294874 | Jennifer Susan Fury | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-21 |
| 1639698194 | Kathryn Lynn Dauble | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-15 |
| 1366975906 | Ryan William Russell | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-04-11 |
| 1205389624 | Calla Marie Hopeman | Registered Nurse | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6963 | 2016-08-02 |
| 1245681014 | Tswjfwm Vang | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2016-06-23 |
| 1326425737 | Ashley Bishop | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2015-05-05 |
| 1558763136 | Kathleen Ann Parker | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| 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 |
|---|---|---|---|---|
| 1770814725 | Alisa M Madson | Dentist | 3930 Northwoods Drive, Arden Hills, MN 55112-6963 | 2010-01-14 |
| 1851445498 | Christopher S. Hipp | Dentist | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2007-01-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ARDEN HILLS |
| Zip Code | 55112 |
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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.