OrganizationActive
Southside Community Health Services, Inc.
NPI 1992822290 · Dentist · Minneapolis, MN
Southside Community Health Services, Inc. is a Dentist organization in Minneapolis, MN (NPI 1992822290).
Provider details
- NPI number
- 1992822290
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ann Cazaban, Executive Director(612) 821-2025
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
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
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
4243 4th Ave S
Minneapolis, MN 55409-2113
Phone: (612) 822-9030
Fax: (612) 821-2818
Street-level locationGet directions
Mailing address
4243 4th Ave S
Minneapolis, MN 55409-2113
Other names (DBA / former)
- Other name
- Southside Dental Clinic
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Frequently asked questions
- What is Southside Community Health Services, Inc.'s NPI number?
- Southside Community Health Services, Inc.'s National Provider Identifier (NPI) is 1992822290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Community Health Services, Inc.?
- Southside Community Health Services, Inc. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Southside Community Health Services, Inc. located?
- Southside Community Health Services, Inc.'s practice location on file with NPPES is 4243 4th Ave S, Minneapolis, MN 55409-2113.
- What is Southside Community Health Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southside Community Health Services, Inc. is (612) 822-9030.
- Who is the authorized official for Southside Community Health Services, Inc.?
- The authorized official listed on Southside Community Health Services, Inc.'s NPPES record is Ann Cazaban, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Community Health Services, Inc.'s NPI active?
- Yes — Southside Community Health Services, Inc.'s NPI (1992822290) is active in the NPPES registry as of the last update on 2026-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.