Child and Teen Medical Center
NPI 1225158520 · Pediatrics Physician · Blaine, MN
Child and Teen Medical Center is a Pediatrics Physician organization in Blaine, MN (NPI 1225158520).
Provider details
- NPI number
- 1225158520
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Bennett, Practic Administrator(763) 333-7755
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Former legal business name
- Fridley Children'S and Teenagers' Medical Center PA
Additional practice locations (1)
- 7225 University Ave NeFridley, MN 55432-3134Phone: (763) 333-7733Fax: (763) 333-7711
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Frequently asked questions
- What is Child and Teen Medical Center's NPI number?
- Child and Teen Medical Center's National Provider Identifier (NPI) is 1225158520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Child and Teen Medical Center?
- Child and Teen Medical Center is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Child and Teen Medical Center located?
- Child and Teen Medical Center's practice location on file with NPPES is 11107 Ulysses St Ne Ste 100, Blaine, MN 55434-4184.
- What is Child and Teen Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Child and Teen Medical Center is (763) 333-7733.
- Who is the authorized official for Child and Teen Medical Center?
- The authorized official listed on Child and Teen Medical Center's NPPES record is Angela Bennett, Practic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Child and Teen Medical Center's NPI active?
- Yes — Child and Teen Medical Center's NPI (1225158520) is active in the NPPES registry as of the last update on 2021-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.