TODAY'S DENTAL ST.CLOUD SC (NPI# 1174913339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174913339 |
| Entity Type | Organization |
| Organization Name | TODAY'S DENTAL ST.CLOUD SC |
| Practice Address |
7960 Brooklyn Blvd Brooklyn Park MN 55445-2722 |
| Mailing Address |
4128 2nd St S Saint Cloud MN 56301-3704 |
| Practice Telephone | 7637109937 |
| Practice Fax Number | 7637109968 |
| Mailing Telephone | 3207742557 |
| Mailing Fax Number | 7637109968 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | CRYSTAL ROEHLKE (OFFICE MANAGER) |
| Authorized Official Telephone | 3207742557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | D12960 | MN | Managed Care Organizations |
| Street Address |
7960 BROOKLYN BLVD |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194018374 | Bonaventure Chisom Nwokocha | Dentist | 7960 Brooklyn Blvd, Brooklyn Park, MN 55445-2722 | 2011-05-22 |
| 1881145423 | Michael Onyekaba | Dentist | 7960 Brooklyn Blvd, Brooklyn Park, MN 55445-2722 | 2016-10-19 |
| 1356749659 | Today's Dental | Dentist | 7960 Brooklyn Blvd, Brooklyn Park, MN 55445-2722 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
| Find all providers in zip 55445 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184082471 | Asian Chiropractic Inc. | Point of Service | 7827 Brooklyn Blvd, Brooklyn Park, MN 55445-2716 | 2016-02-02 |
| 1093992810 | Crown Medical Center | Point of Service | 7001 78th Ave N, Brooklyn Park, MN 55445-2783 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922635028 | Wolf Therapeutic Massage Therapy | Point of Service | 914 4th Ave, Windom, MN 56101-1639 | 2020-03-26 |
| 1265975080 | Cap Inc | Point of Service | 7376 200th Ave, Royalton, MN 56373-3614 | 2016-11-28 |
| 1639611890 | Bdote Learning Center | Point of Service | 3216 E 29th St, Minneapolis, MN 55406-1780 | 2016-11-04 |
| 1679936025 | Lingua Line LLC | Point of Service | 1409 11th Ave S Apt 408, Minneapolis, MN 55404-1417 | 2016-04-03 |
| 1841613064 | Global Lynx, LLC | Point of Service | 1415 Arcade St, Suite 202, Saint Paul, MN 55106-1822 | 2014-01-23 |
| 1487076238 | Chatters Lumber Inc | Point of Service | 4715 17th Ave S, Minneapolis, MN 55407-3613 | 2014-01-14 |
| 1497193536 | Annur Clinic LLC | Point of Service | 1729 Lyndale Ave N, Minneapolis, MN 55411-3349 | 2013-06-11 |
| 1982945184 | Premeir Home Healthcare | Point of Service | 612 E 27th St, Minneapolis, MN 55407-1002 | 2013-03-13 |
| 1164700076 | Sound Solutions Hearing Centers of Minnesota LLC. | Point of Service | 4101 W Division St Ste 4, Saint Cloud, MN 56301-3729 | 2011-07-26 |
| 1720381999 | Riley Millers Construction LLC. | Point of Service | 3725 Pawnee Dr Se, Alexandria, MN 56308-8971 | 2010-12-09 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55445 |
Please comment or provide details below to improve the information on TODAY'S DENTAL ST.CLOUD SC.
| 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.