UNIVERSITY OF MINNESOTA PHYSICIANS (NPI# 1952546061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952546061 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF MINNESOTA PHYSICIANS |
Other Organization Name | DENTAL CLINIC |
Practice Address |
606 24th Ave S Suite 200 Minneapolis MN 55454-1455 |
Practice Telephone | 8126598689 |
Practice Fax Number | 6126598690 |
Mailing Telephone | 6126598689 |
Mailing Fax Number | 6126598690 |
Enumeration Date | 2008-12-04 |
Last Update Date | 2013-06-05 |
Authorized Official Name | MARY JOHNSON (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 6128840802 |
Authorized Official Credential | COO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 701372800 | 05 |
Other Name | Type Code |
---|---|
Dental Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124274527 | University of Minnesota Physicians | Clinic/Center | 901 Second St S, Suite A, Minneapolis, MN 55415 | 2008-08-18 |
1144368531 | University of Minnesota Physicians | Clinic/Center | 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 | 2007-02-01 |
1558408161 | University of Minnesota Physicians | Clinic/Center | 2020 East 28th Street, Smiley's Clinic, Minneapolis, MN 55407 | 2007-01-31 |
1164569679 | University of Minnesota Physicians | Clinic/Center | 1300 2nd Street South Ste 180, Center for Sexual Health, Minneapolis, MN 55454 | 2007-01-31 |
1477598118 | University of Minnesota Physicians | Clinic/Center | 420 Delaware St Se Mmc 126, University of Minnesota Physicians, Minneapolis, MN 55455-0341 | 2006-06-17 |
1710592837 | University of Minnesota Physicians | Clinic/Center | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2020-09-15 |
1467850206 | University of Minnesota Physicians | Clinical Medical Laboratory | 1200 Washington Ave S, Minneapolis, MN 55415-1295 | 2014-12-10 |
1730586819 | University of Minnesota Physicians | Clinic/Center | 814 South 3rd St, Minneapolis, MN 55415 | 2014-12-04 |
1922407980 | University of Minnesota Physicians | Counselor | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2014-08-15 |
1073650677 | University of Minnesota Physicians | Clinic/Center | 580 Rice Street, Bethesda Clinic, Saint Paul, MN 55103 | 2007-01-31 |
Street Address |
606 24TH AVE S SUITE 200 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-1455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033111018 | Gregory M Amer | Family Medicine | 606 24th Ave S, Suite 700, Minneapolis, MN 55454-1455 | 2005-08-10 |
1659978088 | Sean Kenny | Pharmacist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-10-08 |
1962011973 | Galina Alexandra Yakovlev | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-07-26 |
1316564875 | Lawrence Lam | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-07-01 |
1285296996 | Ian Jerrod Huxford | Dentist | 606 24th Ave S, Riverside Professional Building Suite 200, Minneapolis, MN 55454 | 2019-07-02 |
1255992244 | Joshua Dale | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2019-06-21 |
1912490988 | Kelly Mary Stedman | Genetic Counselor, MS | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2018-06-13 |
1912433988 | Cody Kendera | Dentist | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2017-05-11 |
1295275303 | Emily Chang | Student in an Organized Health Care Education/Training Program | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2017-03-08 |
1598203432 | Fairview Express Care | Family Medicine | 606 24th Ave S, Suite 106, Minneapolis, MN 55454-1455 | 2017-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
Find all providers in zip 55454 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528695178 | Nicollet Mall Dental Arts Pllc | Clinic/Center | 825 Nicollet Mall Ste 1737, Minneapolis, MN 55402-2704 | 2020-03-24 |
1427572932 | Loop Dental Pllc | Clinic/Center | 207 5th Ave N, Minneapolis, MN 55401-1215 | 2017-07-27 |
1780133983 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave S, Minneapolis, MN 55407-2125 | 2016-09-28 |
1528515194 | Regents of The University of Minnesota | Clinic/Center | 814 S 3rd Street, Minneapolis, MN 55415 | 2016-09-01 |
1215542618 | Grace A. Warren Dds, Corp | Clinic/Center | 4110 Cedar Ave S, Minneapolis, MN 55407-3433 | 2020-09-11 |
1154934891 | Englander Dental Pa | Clinic/Center | 3801 W 50th St, Minneapolis, MN 55410-2047 | 2020-08-24 |
1689284481 | Nokomis Family Dental Pa | Clinic/Center | 4948 34th Ave S, Minneapolis, MN 55417-1504 | 2020-08-06 |
1881250520 | Lachance Enterprises Pa | Clinic/Center | 2309 Lyndale Ave S, Minneapolis, MN 55405-3661 | 2019-05-17 |
1033677208 | Christie Berkseth-rojas LLC | Clinic/Center | 3455 4th Ave S, Minneapolis, MN 55408-4527 | 2019-03-06 |
1770095028 | Chicago Lake Family Dental LLC | Clinic/Center | 2900 Chicago Ave, Minneapolis, MN 55407-1322 | 2017-10-26 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55454 |
Please comment or provide details below to improve the information on UNIVERSITY OF MINNESOTA PHYSICIANS.
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.