OrganizationActive
Chaska Pediatric Dentistry, P.A.
NPI 1063834588 · Dental Clinic/Center · Chaska, MN
Chaska Pediatric Dentistry, P.A. is a Dental Clinic/Center organization in Chaska, MN (NPI 1063834588).
Provider details
- NPI number
- 1063834588
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Taylor Stephens, Owner/President(952) 475-3135
- License
- D12818 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Hundertmark Rd
Suite 304n
Chaska, MN 55318-4551
Phone: (952) 475-3135
Street-level locationGet directions
Mailing address
250 Central Ave N
Wayzata, MN 55391-1206
Other names (DBA / former)
- Doing business as
- Tailwind Pediatric Dentistry
Registry dates
- Enumerated
- 2014-01-17
- Last updated
- 2014-01-17
Frequently asked questions
- What is Chaska Pediatric Dentistry, P.A.'s NPI number?
- Chaska Pediatric Dentistry, P.A.'s National Provider Identifier (NPI) is 1063834588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chaska Pediatric Dentistry, P.A.?
- Chaska Pediatric Dentistry, P.A. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Chaska Pediatric Dentistry, P.A. located?
- Chaska Pediatric Dentistry, P.A.'s practice location on file with NPPES is 111 Hundertmark Rd, Chaska, MN 55318-4551.
- What is Chaska Pediatric Dentistry, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Chaska Pediatric Dentistry, P.A. is (952) 475-3135.
- Who is the authorized official for Chaska Pediatric Dentistry, P.A.?
- The authorized official listed on Chaska Pediatric Dentistry, P.A.'s NPPES record is Taylor Stephens, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chaska Pediatric Dentistry, P.A.'s NPI active?
- Yes — Chaska Pediatric Dentistry, P.A.'s NPI (1063834588) is active in the NPPES registry as of the last update on 2014-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.