CENTRAL MINNESOTA ORTHODONTICA
NPI 1720146111
Dentist - Orthodontics and Dentofacial Orthopedics in Saint Cloud, MN

NPI Status: Active since December 05, 2006

Contact Information

1411 W SAINT GERMAIN ST
SUITE 104
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 255-1111
Fax: (320) 255-1602

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  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics

About CENTRAL MINNESOTA ORTHODONTICA

This page provides the complete NPI Profile along with additional information for Central Minnesota Orthodontica, a provider established in Saint Cloud, Minnesota operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1720146111 assigned on December 2006. The practitioner's primary taxonomy code is 1223X0400X with license number 11705 (MN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Shelly Am Nordin (Business Manager)

NPI
1720146111
Provider Name
CENTRAL MINNESOTA ORTHODONTICA
Entity Type
Organization
Location Address
1411 W SAINT GERMAIN ST SUITE 104 SAINT CLOUD, MN 56301
Location Phone
(320) 255-1111
Location Fax
(320) 255-1602
Mailing Address
1411 W SAINT GERMAIN ST SUITE 104 SAINT CLOUD, MN 56301
Mailing Phone
(320) 255-1111
Mailing Fax
(320) 255-1602
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
08-19-2011
Code Navigator

A dentist like Central Minnesota Orthodontica is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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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

Dentist Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
License No.
11705
License State
MN
Taxonomy Description
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223X0400XDental Providers

Dentist
Orthodontics and Dentofacial Orthopedics

8228 (MN)
21223X0400XDental Providers

Dentist
Orthodontics and Dentofacial Orthopedics

D12904 (MN)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

SHELLY AM NORDIN

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(320) 255-1111

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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.
1720146111
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740241212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 4 + 1 + 2 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1720146111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891716205DR. KARL ERIC ANDERSON D.C.
Individual
Chiropractor1411 W SAINT GERMAIN ST SUITE 110
SAINT CLOUD, MN 56301
(320) 656-5441
1326113127 TIMOTHY DALE JACOBSON D.D.S.
Individual
Dentist1411 W SAINT GERMAIN ST SUITE #103
SAINT CLOUD, MN 56301
(320) 253-2121
1356416135 DALE EVERETT JACOBSON D.D.S.
Individual
Dentist1411 W SAINT GERMAIN ST SUITE #103
SAINT CLOUD, MN 56301
(320) 253-2121
1649345430 JAMES DAVID COLT D.D.S.
Individual
Dentist1411 W SAINT GERMAIN ST SUITE #103
SAINT CLOUD, MN 56301
(320) 253-2121
1710045190 ERIK DEAN LANGSJOEN D. D. S., M. S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)1411 W SAINT GERMAIN ST SUITE 104
SAINT CLOUD, MN 56301
(320) 255-1111
1063570505 REBECCA ANN HANSON D.D.S., M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)1411 W SAINT GERMAIN ST SUITE 104
SAINT CLOUD, MN 56301
(320) 255-1111
1497881809MR. ROBERT M O'NEEL
Individual
Hearing Instrument Specialist1411 W SAINT GERMAIN ST #203
SAINT CLOUD, MN 56301
(320) 654-0505
1699905380NEVE INC
Organization
Audiologist-Hearing Aid Fitter1411 W SAINT GERMAIN ST STE 203
SAINT CLOUD, MN 56301
(320) 654-0505
1235584202 DIANA JASKI H.I.S
Individual
Hearing Instrument Specialist1411 W SAINT GERMAIN ST STE 203
SAINT CLOUD, MN 56301
(320) 654-0505
1598891921MS. BROOKE M STECKELBERG
Individual
Hearing Instrument Specialist1411 W SAINT GERMAIN ST #203
SAINT CLOUD, MN 56301
(320) 654-0505
1396810008DR'S COLT AND JACOBSONS, LTD
Organization
Dentist (General Practice)1411 W SAINT GERMAIN ST SUITE #103
SAINT CLOUD, MN 56301
(320) 253-2121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720146111, enumerated in the NPI registry as an "organization" on December 05, 2006

The provider is located at 1411 W Saint Germain St Suite 104 Saint Cloud, Mn 56301 and the phone number is (320) 255-1111

This medical organization specializes in Dentist with taxonomy code 1223X0400X with a focus in Orthodontics and Dentofacial Orthopedics

This NPI record was last updated on December 05, 2006. 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].
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