South Lake Clinic, P.A.
NPI 1427027184 · Pediatrics Physician · Minnetonka, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Lake Clinic, P.A. is a Pediatrics Physician organization in Minnetonka, MN (NPI 1427027184).
Provider details
- NPI number
- 1427027184
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dale Dobrin, Owner/Medical Director(952) 401-8300
- License
- 556 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- South Lake Pediatrics
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2024-09-23
- Certified
- 2024-09-23
Frequently asked questions
- What is South Lake Clinic, P.A.'s NPI number?
- South Lake Clinic, P.A.'s National Provider Identifier (NPI) is 1427027184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Clinic, P.A.?
- South Lake Clinic, P.A. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is South Lake Clinic, P.A. located?
- South Lake Clinic, P.A.'s practice location on file with NPPES is 17705 Hutchins Dr, Minnetonka, MN 55345-4145.
- What is South Lake Clinic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for South Lake Clinic, P.A. is (952) 401-8300.
- Does South Lake Clinic, P.A. accept Medicare?
- South Lake Clinic, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Lake Clinic, P.A.?
- The authorized official listed on South Lake Clinic, P.A.'s NPPES record is Dale Dobrin, Owner/Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Clinic, P.A.'s NPI active?
- Yes — South Lake Clinic, P.A.'s NPI (1427027184) is active in the NPPES registry as of the last update on 2024-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.