TAYLOR J. STEPHENS, D.D.S, P.A. (NPI# 1962742650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962742650 |
| Entity Type | Organization |
| Organization Name | TAYLOR J. STEPHENS, D.D.S, P.A. |
| Other Organization Name | TAILWIND PEDIATRIC DENTISTRY |
| Practice Address |
250 Central Ave N Suite 113 Wayzata MN 55391-1206 |
| Practice Telephone | 9524753135 |
| Mailing Telephone | 9524753135 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | TAYLOR J STEPHENS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9524753135 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D12818 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tailwind Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
250 CENTRAL AVE N SUITE 113 |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943117 | Christine Mccarthy | Family Medicine | 250 Central Ave N, Suite 220, Wayzata, MN 55391-1206 | 2005-12-16 |
| 1821538240 | Rebecca Christine Fichtel | Physician Assistant | 250 Central Ave N, Suite #220 & #228, Wayzata, MN 55391-1206 | 2017-03-04 |
| 1427457209 | Matthew David Quanrud | Physical Therapist | 250 Central Ave N, Wayzata, MN 55391-1206 | 2014-08-18 |
| 1073929543 | Lucas G Dueffert | Physical Therapist | 250 Central Ave N, Suite Ll 10, Wayzata, MN 55391-1206 | 2014-07-06 |
| 1245562180 | Brian A Gehling | Physical Therapist | 250 Central Ave N, Suite Ll-10, Wayzata, MN 55391-1206 | 2010-02-03 |
| 1710146394 | Taylor Stephens | Dentist | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2008-06-09 |
| 1659554517 | Wayzata Dental, Ltd. | Dentist | 250 Central Ave N, Suite 202, Wayzata, MN 55391-1206 | 2007-12-13 |
| 1689867129 | Terry Boksberger | Family Medicine | 250 Central Ave N, Suite 228, Wayzata, MN 55391-1206 | 2007-08-18 |
| 1083814206 | Monica Kennard,d.d.s.,p.a. | Dentist | 250 Central Ave N, Suite 211, Wayzata, MN 55391-1208 | 2007-07-25 |
| 1265650956 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 250 Central Ave N, Suite126, Wayzata, MN 55391-1206 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952738361 | Camara Good LLC | Clinic/Center | 250 N Central Ave, Suite 300, Wayzata, MN 55391 | 2013-09-30 |
| 1609010610 | Twin Cities Dental Studio, Pllc | Clinic/Center | 1421 Wayzata Blvd E, Suite 303, Wayzata, MN 55391 | 2009-04-22 |
| 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 |
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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.