OrganizationActive
Northdale Dentist PA
NPI 1619287562 · General Practice Dentistry · Coon Rapids, MN
Northdale Dentist PA is a General Practice Dentistry organization in Coon Rapids, MN (NPI 1619287562).
Provider details
- NPI number
- 1619287562
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jagannatian Ramakrishnan, Dentist(763) 218-2887
- License
- D12003 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2147, Northdale Blvd Nw.
Coon Rapids, MN 55433
Phone: (763) 497-6977
Fax: (763) 463-7807
Street-level locationGet directions
Mailing address
6808, 67th Street Ne.
Albertville, MN 55301
Registry dates
- Enumerated
- 2010-10-13
- Last updated
- 2010-10-13
Frequently asked questions
- What is Northdale Dentist PA's NPI number?
- Northdale Dentist PA's National Provider Identifier (NPI) is 1619287562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northdale Dentist PA?
- Northdale Dentist PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Northdale Dentist PA located?
- Northdale Dentist PA's practice location on file with NPPES is 2147, Northdale Blvd Nw., Coon Rapids, MN 55433.
- What is Northdale Dentist PA's phone number?
- The practice phone number listed in the NPPES registry for Northdale Dentist PA is (763) 497-6977.
- Who is the authorized official for Northdale Dentist PA?
- The authorized official listed on Northdale Dentist PA's NPPES record is Jagannatian Ramakrishnan, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northdale Dentist PA's NPI active?
- Yes — Northdale Dentist PA's NPI (1619287562) is active in the NPPES registry as of the last update on 2010-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.