OrganizationActive
Coon Rapids Modern Dentistry, PC
NPI 1295431138 · Dentist · Coon Rapids, MN
Coon Rapids Modern Dentistry, PC is a Dentist organization in Coon Rapids, MN (NPI 1295431138).
Provider details
- NPI number
- 1295431138
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Parvathi Jithendranathan, Owner(763) 290-6623
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
3320 124th Ave Nw
Coon Rapids, MN 55433-1001
Phone: (763) 290-6623
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Coon Rapids Modern Dentistry
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Frequently asked questions
- What is Coon Rapids Modern Dentistry, PC's NPI number?
- Coon Rapids Modern Dentistry, PC's National Provider Identifier (NPI) is 1295431138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coon Rapids Modern Dentistry, PC?
- Coon Rapids Modern Dentistry, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Coon Rapids Modern Dentistry, PC located?
- Coon Rapids Modern Dentistry, PC's practice location on file with NPPES is 3320 124th Ave Nw, Coon Rapids, MN 55433-1001.
- What is Coon Rapids Modern Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Coon Rapids Modern Dentistry, PC is (763) 290-6623.
- Who is the authorized official for Coon Rapids Modern Dentistry, PC?
- The authorized official listed on Coon Rapids Modern Dentistry, PC's NPPES record is Parvathi Jithendranathan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coon Rapids Modern Dentistry, PC's NPI active?
- Yes — Coon Rapids Modern Dentistry, PC's NPI (1295431138) is active in the NPPES registry as of the last update on 2023-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.