West Missabe Orthodontics PLLC · Orthodontics and Dentofacial Orthopedic Dentist

615 Ne 4th Street, Grand Rapids, MN 55744

Overview

West Missabe Orthodontics PLLC is a Orthodontics and Dentofacial Orthopedic Dentist (organization) practicing in Grand Rapids, Minnesota. The National Provider Identifier (NPI) is #1215753462, which was assigned on December 3, 2024, and the registration record was last updated on December 3, 2024. The practitioner's main practice location is at 615 Ne 4th Street, Grand Rapids, MN 55744; the contact telephone number is 2189995588, and the fax number is 2183287002. The primary taxonomy of West Missabe Orthodontics PLLC is Orthodontics and Dentofacial Orthopedic Dentist (1223X0400X), with specialization in Orthodontics and Dentofacial Orthopedics. The authorized official for West Missabe Orthodontics PLLC is Ryan J Mueller (Owner/Dentist).

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Provider Information

NPI 1215753462
Entity Type Organization
Organization Name WEST MISSABE ORTHODONTICS PLLC
Provider Name WEST MISSABE ORTHODONTICS PLLC
Practice Address 615 Ne 4th Street
Grand Rapids
MN 55744
Practice Telephone 2189995588
Practice Fax Number 2183287002
Mailing Address 615 Ne 4th Street
Grand Rapids
MN 55744
Mailing Telephone 2189995588
Mailing Fax Number 2183287002
Enumeration Date 2024-12-03
Last Update Date 2024-12-03
Is Organization Subpart N

Authorized Official Information

Official Name RYAN J MUELLER
Official Title OWNER/DENTIST
Credential DDS
Telephone 2189995588

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1223X0400XDentistOrthodontics and Dentofacial Orthopedics193400000X SINGLE SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Grand Rapids OrthodonticsDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 1223X0400X
Taxonomy Orthodontics and Dentofacial Orthopedic Dentist
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics
Grouping Dental Providers
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Fusion Orthodontics At Garland 107 S 1st St Ste A, Garland, TX 75040-7219Orthodontics and Dentofacial Orthopedic Dentist2025-01-11
Elisa Herrman Dmd LLC 9475 Sw Wilsonville Rd, Wilsonville, OR 97070-7522Orthodontics and Dentofacial Orthopedic Dentist2025-01-03
Eng Orthodontics Arvada PLLC 18148 W 92nd Ln Unit 500, Arvada, CO 80007-8164Orthodontics and Dentofacial Orthopedic Dentist2025-01-06
Stewart Orthodontics, Inc. 1731 Hill Park Drive, Jonesboro, AR 72401Orthodontics and Dentofacial Orthopedic Dentist2025-01-07
Edgar Tilley 4 Sunset Way Ste C, Henderson, NV 89014-2016Orthodontics and Dentofacial Orthopedic Dentist2025-01-07
Iravani Dental Corp 405 N Maclay Ave Ste 101, San Fernando, CA 91340-2454Orthodontics and Dentofacial Orthopedic Dentist2024-12-31
Sibel Eljach Dmd Ms, PLLC 2000 S Dixie Hwy Ste 100c, Coconut Grove, FL 33133-2455Orthodontics and Dentofacial Orthopedic Dentist2025-01-08
Depew and Young Orthodontics, LLC 2161 Cedarcrest Rd, Acworth, GA 30101-6404Orthodontics and Dentofacial Orthopedic Dentist2025-01-08
Logan Smith 7613 Esther Cir, Frederick, CO 80504-5881Orthodontics and Dentofacial Orthopedic Dentist2025-01-09
Christopher Y. Shi, Dmd, Inc. 13522 Newport Ave Ste 100, Tustin, CA 92780-3707Orthodontics and Dentofacial Orthopedic Dentist2025-01-03
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Location Information

Street Address 615 NE 4TH STREET
City GRAND RAPIDS
State MN
Zip Code 55744
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Friesen & Friesen, Inc 1971 Ne 1st Avenue, Grand Rapids, MN 55744Assisted Living Facility2020-10-29
Patrice Marie Curtiss 23792 Winckler Road, Grand Rapids, MN 55744Attendant Care Provider2019-10-28
Lana Rae Jacobson 1401 Nw 9th Street, Grand Rapids, MN 55744Registered Nurse2012-09-17
Christina Marie Hubred · Christina Marie Johnson Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744Advanced Practice Dental Therapist2019-07-30
Kelly Ann Shermoen 18 Se 10th Street, Grand Rapids, MN 55744Pharmacist2010-04-07
David Allen Griggs 2140 S.Pokegama Ave., T-0904, Target, Grand Rapids, MN 55744Pharmacist2011-06-13
Kathryn Ann Cargill 520 5th St Nw, Grand Rapids, MN 55744Dentist2009-07-01
Dawn Jolicoeur 510 Se 13th Street, Grand Rapids, MN 55744Addiction (Substance Use Disorder) Counselor2007-06-06
John Anthony Joki 204 Nw 5th St, Grand Rapids, MN 55744Chiropractor2018-04-20
Kelly Jo Mccue · Kelly Jo Dahl 1542 Golf Course Road, Suite 204, Grand Rapids, MN 55744Occupational Therapist2008-03-27
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United Orthodontics of Corpus Christi PLLC · Smilelife Orthodontics 17503 La Cantera Pkwy, Ste 104-496, San Antonio, TX 78257-8207Orthodontics and Dentofacial Orthopedic Dentist2013-05-15
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Boulder Valley Orthodontics, PLLC · Walker & Leypoldt Orthodontics 350 Broadway St Ste 120, Boulder, CO 80305-3300Orthodontics and Dentofacial Orthopedic Dentist2017-10-18
Greenway Orthodontics PLLC · Greater Houston Orthodontics 9412 Gaylord Dr, Houston, TX 77024-3034Orthodontics and Dentofacial Orthopedic Dentist2014-10-21
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.