MRS. PANDORA BAZEN DICKSON (NPI# 1578101747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578101747 |
| Entity Type | Individual |
| Full Name | MRS. PANDORA BAZEN DICKSON |
| Practice Address |
7400 122nd Ave N Champlin MN 55316-2127 |
| Practice Telephone | 7634582415 |
| Mailing Telephone | 7634582415 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R188972-5 | MN | Nursing Service Providers |
| Street Address |
7400 122ND AVE N |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479231 | Natalie Frost | Registered Nurse | 11233 Nevada Ave N, Champlin, MN 55316-3363 | 2020-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685880 | Nelia Marapao Silva-kane | Registered Nurse | 2081 Chester St, Shakopee, MN 55379-4375 | 2020-07-02 |
| 1629604087 | Jackie Lea Lindberg | Registered Nurse | 706 26th St, Cloquet, MN 55720-2726 | 2020-03-18 |
| 1922581982 | Abdullahi Omar Osobow | Registered Nurse | 2021 E Hennepin Ave Ste 402-1, Minneapolis, MN 55413-2700 | 2018-09-14 |
| 1952808784 | Zakaria Chege | Registered Nurse | 7290 Stewart Dr, Eden Prairie, MN 55346-3248 | 2018-04-09 |
| 1427575166 | Christine Mazanec | Registered Nurse | 3424 W Park Dr, Burnsville, MN 55306-6981 | 2017-08-24 |
| 1407393929 | Dechen C Jamling | Registered Nurse | 7361 Jackson St Ne, Fridley, MN 55432-3208 | 2017-01-23 |
| 1073050704 | Catherine Passe | Registered Nurse | 600 Central Street Avenue East, St Michael, MN 55376 | 2017-01-19 |
| 1477938389 | Kristina Nowak | Registered Nurse | 2310 Park Ave Nw, #203, Faribault, MN 55021-9221 | 2015-07-22 |
| 1336580596 | Robert John Garrick | Registered Nurse | 8987 92nd St S, Cottage Grove, MN 55016-4038 | 2013-07-16 |
| 1225385669 | Katherine Lynn Parker | Registered Nurse | 933 Inspiration Pkwy S, Bayport, MN 55003-1611 | 2012-08-03 |
| Find all providers with the same taxonomy | ||||
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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.