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.
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 |
Official Name | RYAN J MUELLER |
Official Title | OWNER/DENTIST |
Credential | DDS |
Telephone | 2189995588 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 1223X0400X | Dentist | Orthodontics and Dentofacial Orthopedics | 193400000X SINGLE SPECIALTY GROUP |
Other Organization Name | Type |
---|---|
Grand Rapids Orthodontics | Doing Business As Name |
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. |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Fusion Orthodontics At Garland | 107 S 1st St Ste A, Garland, TX 75040-7219 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-11 |
Elisa Herrman Dmd LLC | 9475 Sw Wilsonville Rd, Wilsonville, OR 97070-7522 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-03 |
Eng Orthodontics Arvada PLLC | 18148 W 92nd Ln Unit 500, Arvada, CO 80007-8164 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-06 |
Stewart Orthodontics, Inc. | 1731 Hill Park Drive, Jonesboro, AR 72401 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-07 |
Edgar Tilley | 4 Sunset Way Ste C, Henderson, NV 89014-2016 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-07 |
Iravani Dental Corp | 405 N Maclay Ave Ste 101, San Fernando, CA 91340-2454 | Orthodontics and Dentofacial Orthopedic Dentist | 2024-12-31 |
Sibel Eljach Dmd Ms, PLLC | 2000 S Dixie Hwy Ste 100c, Coconut Grove, FL 33133-2455 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-08 |
Depew and Young Orthodontics, LLC | 2161 Cedarcrest Rd, Acworth, GA 30101-6404 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-08 |
Logan Smith | 7613 Esther Cir, Frederick, CO 80504-5881 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-09 |
Christopher Y. Shi, Dmd, Inc. | 13522 Newport Ave Ste 100, Tustin, CA 92780-3707 | Orthodontics and Dentofacial Orthopedic Dentist | 2025-01-03 |
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Street Address |
615 NE 4TH STREET |
City | GRAND RAPIDS |
State | MN |
Zip Code | 55744 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Friesen & Friesen, Inc | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | Assisted Living Facility | 2020-10-29 |
Patrice Marie Curtiss | 23792 Winckler Road, Grand Rapids, MN 55744 | Attendant Care Provider | 2019-10-28 |
Lana Rae Jacobson | 1401 Nw 9th Street, Grand Rapids, MN 55744 | Registered Nurse | 2012-09-17 |
Christina Marie Hubred · Christina Marie Johnson | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | Advanced Practice Dental Therapist | 2019-07-30 |
Kelly Ann Shermoen | 18 Se 10th Street, Grand Rapids, MN 55744 | Pharmacist | 2010-04-07 |
David Allen Griggs | 2140 S.Pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | Pharmacist | 2011-06-13 |
Kathryn Ann Cargill | 520 5th St Nw, Grand Rapids, MN 55744 | Dentist | 2009-07-01 |
Dawn Jolicoeur | 510 Se 13th Street, Grand Rapids, MN 55744 | Addiction (Substance Use Disorder) Counselor | 2007-06-06 |
John Anthony Joki | 204 Nw 5th St, Grand Rapids, MN 55744 | Chiropractor | 2018-04-20 |
Kelly Jo Mccue · Kelly Jo Dahl | 1542 Golf Course Road, Suite 204, Grand Rapids, MN 55744 | Occupational Therapist | 2008-03-27 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Billings Orthodontics, PLLC · Bennionlambourne Orthodontics | 152 S 32nd St W, A, Billings, MT 59102-6875 | Orthodontics and Dentofacial Orthopedic Dentist | 2016-07-12 |
Ava Orthodontics League City PLLC | 2810 Gulf Fwy S, League City, TX 77573-6825 | Orthodontics and Dentofacial Orthopedic Dentist | 2015-06-16 |
United Orthodontics of Corpus Christi PLLC · Smilelife Orthodontics | 17503 La Cantera Pkwy, Ste 104-496, San Antonio, TX 78257-8207 | Orthodontics and Dentofacial Orthopedic Dentist | 2013-05-15 |
United Orthodontics of Las Cruces PLLC · Smilelife Orthodontics | 17503 La Cantera Pkwy, Ste104-496, San Antonio, TX 78257-8207 | Orthodontics and Dentofacial Orthopedic Dentist | 2013-05-17 |
Boulder Valley Orthodontics, PLLC · Walker & Leypoldt Orthodontics | 350 Broadway St Ste 120, Boulder, CO 80305-3300 | Orthodontics and Dentofacial Orthopedic Dentist | 2017-10-18 |
Greenway Orthodontics PLLC · Greater Houston Orthodontics | 9412 Gaylord Dr, Houston, TX 77024-3034 | Orthodontics and Dentofacial Orthopedic Dentist | 2014-10-21 |
Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | 1029 W Mercury Blvd, Hampton, VA 23666-3406 | Orthodontics and Dentofacial Orthopedic Dentist | 2015-11-10 |
Booth Orthodontics PLLC · Verde Valley Orthodontics | 10 N Alamos Dr, Cottonwood, AZ 86326-4072 | Orthodontics and Dentofacial Orthopedic Dentist | 2017-08-29 |
Concord Orthodontics PLLC · Heart Orthodontics | 1732 Main St Ste C1-A, Concord, MA 01742-3837 | Orthodontics and Dentofacial Orthopedic Dentist | 2017-06-19 |
Espina Orthodontics, PLLC · El Paso Family Orthodontics | 4504 Parade Willow Dr, El Paso, TX 79922-2235 | Orthodontics and Dentofacial Orthopedic Dentist | 2015-11-04 |
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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 |
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. |