PATRICK J ENNEN DDS PA
NPI 1346393485
Clinic/Center - Dental in Coon Rapids, MN

NPI Status: Active since January 20, 2007

Contact Information

3960 COON RAPIDS BLVD NW
213
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-4912

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  • Organization
  • Clinic/Center
  • Dental

About PATRICK J ENNEN DDS PA

This page provides the complete NPI Profile along with additional information for Patrick J Ennen Dds Pa, a provider established in Coon Rapids, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1346393485 assigned on January 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 7668 (MN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Patrick Joseph Ennen Dds (President)

NPI
1346393485
Provider Name
PATRICK J ENNEN DDS PA
Entity Type
Organization
Location Address
3960 COON RAPIDS BLVD NW 213 COON RAPIDS, MN 55433
Location Phone
(763) 427-4912
Mailing Address
3960 COON RAPIDS BLVD NW 213 COON RAPIDS, MN 55433
Mailing Phone
(763) 427-4912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
7668
License State
MN

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PATRICK JOSEPH ENNEN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(763) 427-4912

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346393485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386696416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 9 + 6 + 4 + 1 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1346393485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366425688DR. HELMER EDWARD SWENSON JR. M.D.
Individual
Urology3960 COON RAPIDS BLVD NW SUITE 300
COON RAPIDS, MN 55433
(763) 422-4665
1255391199 MARTIN ZADNIK MD
Individual
Surgery3960 COON RAPIDS BLVD NW SUITE 104
COON RAPIDS, MN 55433
(763) 236-9000
1215997135 SARAH BETH SCHOEL MD
Individual
Obstetrics & Gynecology3960 COON RAPIDS BLVD NW SUITE 101
COON RAPIDS, MN 55433
(763) 236-9236
1760443949 GABRIEL KOMJATHY
Individual
Urology3960 COON RAPIDS BLVD NW SUITE 104
COON RAPIDS, MN 55433
(612) 576-7600
1386606820 ROBERT WILLIAM TOFTE MD
Individual
Internal Medicine (Infectious Disease)3960 COON RAPIDS BLVD NW SUITE 104
COON RAPIDS, MN 55433
(763) 422-6122
1285696567 ALAN STUART JOHNSON MD
Individual
Surgery3960 COON RAPIDS BLVD NW SUITE 104
COON RAPIDS, MN 55433
(763) 236-9000
1720040660 MICHELLE RAE LINDMAN-MILLER MD
Individual
Obstetrics & Gynecology3960 COON RAPIDS BLVD NW SUITE101
COON RAPIDS, MN 55433
(763) 236-9236
1972566065 CONLITH ANNE JAMISON WHCNP
Individual
Nurse Practitioner3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 236-9236
1518920628 RODNEY CLYDE LOVETT MD
Individual
Surgery3960 COON RAPIDS BLVD NW SUITE 104
COON RAPIDS, MN 55433
(612) 576-7600
1215994801 ANNE C WHITNEY MD
Individual
Internal Medicine3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 236-9400
1710944988DR. PATRICK JOSEPH ENNEN DDS
Individual
Dentist (Periodontics)3960 COON RAPIDS BLVD NW SUITE 213
COON RAPIDS, MN 55433
(763) 427-4912
1568403558 DAVID D MILLER MD
Individual
Internal Medicine3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 236-9400
1447274832DR. BUTCH MAYNER HUSTON MD
Individual
Pathology (Forensic Pathology)3960 COON RAPIDS BLVD NW SUITE LL21
COON RAPIDS, MN 55433
(763) 236-9050
1467463307 MARY THERESA WATSON WHCNP
Individual
Nurse Practitioner3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 236-9236
1528171428MR. THEODORE JOSEPH BUSELMEIER M.D.
Individual
Dermatology3960 COON RAPIDS BLVD NW SUITE 116
COON RAPIDS, MN 55433
(763) 427-8113
1629185335 JANIS CAROL AMATUZIO M.D.
Individual
Pathology (Forensic Pathology)3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 236-9050
1063573590DR. RAMON AGUIRRE D.D.S., M.S.
Individual
Dentist (Endodontics)3960 COON RAPIDS BLVD NW SUITE 320
COON RAPIDS, MN 55433
(763) 427-1720
1639211980DR. KIRK ARLAN DULAC D.D.S., M.S.D.
Individual
Dentist (Endodontics)3960 COON RAPIDS BLVD NW SUITE 320
COON RAPIDS, MN 55433
(763) 427-1720
1417163189ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
Organization
Dermatology3960 COON RAPIDS BLVD NW SUITE 116
COON RAPIDS, MN 55433
(763) 427-8113
1447409834MINNESOTA ONCOLOGY HEMATOLOGY, PA
Organization
Obstetrics & Gynecology (Gynecologic Oncology)3960 COON RAPIDS BLVD NW SUITE 101
COON RAPIDS, MN 55433
(612) 863-8585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346393485, enumerated in the NPI registry as an "organization" on January 20, 2007

The provider is located at 3960 Coon Rapids Blvd Nw 213 Coon Rapids, Mn 55433 and the phone number is (763) 427-4912

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on January 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.