OrganizationActive
Chicago Lake Dental
NPI 1497936389 · General Practice Dentistry · Minneapolis, MN
Chicago Lake Dental is a General Practice Dentistry organization in Minneapolis, MN (NPI 1497936389).
Provider details
- NPI number
- 1497936389
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Johnson, Owner(612) 823-2080
- License
- D9512 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2900 Chicago Ave
Minneapolis, MN 55407-1322
Phone: (612) 823-2080
Fax: (612) 823-5777
Street-level locationGet directions
Mailing address
2900 Chicago Ave
Minneapolis, MN 55407-1322
Registry dates
- Enumerated
- 2007-11-19
- Last updated
- 2007-11-19
Frequently asked questions
- What is Chicago Lake Dental's NPI number?
- Chicago Lake Dental's National Provider Identifier (NPI) is 1497936389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicago Lake Dental?
- Chicago Lake Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Chicago Lake Dental located?
- Chicago Lake Dental's practice location on file with NPPES is 2900 Chicago Ave, Minneapolis, MN 55407-1322.
- What is Chicago Lake Dental's phone number?
- The practice phone number listed in the NPPES registry for Chicago Lake Dental is (612) 823-2080.
- Who is the authorized official for Chicago Lake Dental?
- The authorized official listed on Chicago Lake Dental's NPPES record is David Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicago Lake Dental's NPI active?
- Yes — Chicago Lake Dental's NPI (1497936389) is active in the NPPES registry as of the last update on 2007-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.