NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northdale Dentist PA

General Practice Dentistry in Coon Rapids, MN · enumerated 2010 · authorized official Jagannatian Ramakrishnan, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619287562

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Northdale Dentist PA
Practice address 2147, Northdale Blvd Nw., Coon Rapids, MN, 55433
Fax (763) 463-7807
Enumeration date Oct 13, 2010
Last updated in NPPES Oct 13, 2010

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License D12003 (MN) Primary

Authorized official

Name Jagannatian Ramakrishnan
Title Dentist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Northdale Dentist PA?
Northdale Dentist PA is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-13.