DR. CHARLES MORGAN MCCANN (NPI# 1720138886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720138886 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MORGAN MCCANN |
| Credential | DDS MS |
| Practice Address |
825 Nicollet Mall Suite 401 Medical Arts Building Minneapolis MN 55402-2611 |
| Practice Telephone | 6123395593 |
| Practice Fax Number | 6123395594 |
| Mailing Telephone | 6123395593 |
| Mailing Fax Number | 6123395594 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D11295 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619402369 | Charles Peter Mccann | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2017-05-01 |
| Street Address |
825 NICOLLET MALL SUITE 401 MEDICAL ARTS BUILDING |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55402-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718892 | Dinesh K Goyal | Ophthalmology | 825 Nicollet Mall, Ste 2000, Minneapolis, MN 55402-2708 | 2005-05-24 |
| 1851836464 | Denise Brown | Nurse Practitioner | 825 Nicollet Mall, Medical Arts Building Suite 300, Minneapolis, MN 55402-2525 | 2017-01-05 |
| 1881138527 | Stefanie Marie Donnelly | Counselor | 825 Nicollet Mall, Suite 415, Minneapolis, MN 55402-2606 | 2016-12-15 |
| 1073063103 | Minnesota Dental Professionals, P.C. | Dentist | 825 Nicollet Mall, Ste 425, Minneapolis, MN 55402-2606 | 2016-10-13 |
| 1326596032 | Michael Studer | Acupuncturist | 825 Nicollet Mall, Suite 923, Minneapolis, MN 55402-2606 | 2016-09-12 |
| 1104272939 | Donald Clausen Dds Ms Pa | Dentist | 825 Nicollet Mall, Ste 825, Minneapolis, MN 55402-2606 | 2016-05-11 |
| 1841656410 | Cityscape Dental Pa | Dentist | 825 Nicollet Mall, Suite# 1921, Minneapolis, MN 55402-2606 | 2016-01-12 |
| 1629442538 | Skin Specialists | Dermatology | 825 Nicollet Mall, Suite 1002, Minneapolis, MN 55402-2614 | 2015-11-17 |
| 1790171171 | Mill City Dermatology, P.a. | Clinic/Center | 825 Nicollet Mall, Suite 1227, Minneapolis, MN 55402-2606 | 2015-04-12 |
| 1760894372 | Svetlana Simovic, M.d. | Psychiatry & Neurology | 825 Nicollet Mall, Suite # 614, Minneapolis, MN 55402-2606 | 2014-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1124529417 | Danielle Marie Kasprzak | Social Worker | 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 | 2018-02-22 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| 1265891600 | Carl Mothes | Counselor | 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 | 2016-02-13 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1235368226 | Anna Dickens | Nurse Practitioner | 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 | 2009-07-10 |
| Find all providers in zip 55402 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316400591 | Shorouk Elnagdy | Dentist | 515 Delaware St Se # 7-368, Minneapolis, MN 55455-0357 | 2019-04-13 |
| 1861784050 | Elham Akhlaghi | Dentist | 515 Delaware Street, Minneapolis, MN 55455 | 2011-05-06 |
| 1972770006 | Ying-lien Wu | Dentist | 150 S 5th St Ste 1475, Minneapolis, MN 55402-4212 | 2008-05-08 |
| 1417020017 | Glenn I Lepor | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2006-11-15 |
| 1548756984 | Barbara Botorous | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2018-07-09 |
| 1851884712 | Alessandro Pedercini | Dentist | 515 Delaware Street Se, 7-368 Moos Health Science Tower, Minneapolis, MN 55455 | 2018-06-14 |
| 1679904429 | Ryan Wolff | Dentist | 515 Delaware St Se, 7-360 Moos Tower, Minneapolis, MN 55455-0357 | 2013-12-04 |
| 1417213695 | Sofia Karadimitriou | Dentist | 515 Delaware St Se, School of Dentistry, Minneapolis, MN 55455-0357 | 2012-04-02 |
| 1245506849 | Bashar Bakdash | Dentist | 515 Delaware St Se, 7-368 Mhst, Minneapolis, MN 55455-0357 | 2012-03-28 |
| 1649563040 | Massimo Costalonga | Dentist | 516 Delaware St Se, 7-300 Pwb, Minneapolis, MN 55455-0356 | 2011-05-18 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55402 |
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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.