WLD2, LLC (NPI# 1699204172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699204172 |
Entity Type | Organization |
Organization Name | WLD2, LLC |
Other Organization Name | WEST LAKES DENTISTRY |
Practice Address |
132 Pioneer Trl Chaska MN 55318-1167 |
Mailing Address |
1635 Sunnybrook Cir Minnetrista MN 55364-1276 |
Practice Telephone | 9523613740 |
Mailing Telephone | 16123875009 |
Enumeration Date | 2017-06-08 |
Last Update Date | 2017-06-08 |
Authorized Official Name | DR. STEPHANIE LYNN MINER (PRESIDENT) |
Authorized Official Telephone | 6123875009 |
Authorized Official Credential | DDS |
Is Organization Subpart | Y |
Parent Organization Name | WEST LAKES DENTISTRY, PA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D11974 | MN | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
West Lakes Dentistry | Doing Business As Name - Organization |
Street Address |
132 PIONEER TRL |
City | CHASKA |
State | MN |
Zip Code | 55318-1167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730208174 | Laurie Dawn Strand | Dentist | 132 Pioneer Trl, Chaska, MN 55318-1167 | 2007-03-28 |
1295182244 | Lauren Ashley Ashburn | Dentist | 132 Pioneer Trl, Chaska, MN 55318-1167 | 2016-05-19 |
1437342821 | Kristy Lynn Taran | Dentist | 132 Pioneer Trl, Chaska, MN 55318-1167 | 2007-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
Find all providers in zip 55318 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063834588 | Chaska Pediatric Dentistry, P.a. | Clinic/Center | 111 Hundertmark Rd, Suite 304n, Chaska, MN 55318-4551 | 2014-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on WLD2, LLC.
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.