OrganizationActive
Maple Grove Center for Restorative Surgery LLC
NPI 1144644717 · Ambulatory Surgical Clinic/Center · Maple Grove, MN
Provider details
- NPI number
- 1144644717
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Hanson, Medical Director(651) 324-8693
- License
- 679516700023 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
13601 80th Circle North
Suite 100
Maple Grove, MN 55369
Phone: (763) 432-7655
Fax: (763) 432-7501
Approximate (ZIP-level) locationGet directions
Mailing address
13601 80th Circle North
Maple Grove, MN 55369
Registry dates
- Enumerated
- 2014-02-18
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.