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MINNESOTA HEAD & NECK PAIN CLINIC
NPI 1003316852
Dentist - Orofacial Pain in Saint Cloud, MN

Active since February 19, 2018
622 ROOSEVELT RD, SAINT CLOUD, MN 56301(763) 577-2484(763) 577-1375 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Mar 17, 2018, Feb 19, 2018 (3 updates tracked since 2018).

About Minnesota Head & Neck Pain Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA HEAD & NECK PAIN CLINIC (NPI 1003316852) is a healthcare organization registered as an orofacial pain in Saint Cloud, Minnesota and active in the NPI registry since February 2018. The organization lists Tia A Reichert, Chro/clinic Admin, as its authorized official.

NPPES Registry Identity

NPI1003316852
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameMINNESOTA HEAD AND NECK PAIN CLINIC, PA
Location Address622 ROOSEVELT RDSaint Cloud, MN 56301-6153
Mailing Address3475 Plymouth Blvd Ste 200Plymouth, MN 55447-1539 · (763) 577-2484 · Fax (763) 577-1375
Phone(763) 577-2484
Fax(763) 577-1375
Organization SubpartNo
Authorized OfficialTia A ReichertChro/clinic Admin · (763) 577-2484
Enumeration DateFebruary 19, 2018
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1003316852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedSpecialistTaxonomy 174400000X
622 ROOSEVELT RD, Saint Cloud, MN 56301
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Other Names 1

Doing Business AsMinnesota Head & Neck Pain Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT RIVER ENDODONTICS, PA
Dentist (Endodontics)
622 ROOSEVELT RD, SUITE 180
SAINT CLOUD, MN 56301
Stearns County (320) 259-5078
CENTRAL MINNESOTA GROUP HEALTH, INC.
Specialist/Technologist, Other
622 ROOSEVELT RD, DISTRICT SQUARE SUITE 140
SAINT CLOUD, MN 56301
Stearns County (320) 203-2380
DR. DENNIS MAXWELL TUCKER D.D.S.
Dentist (Endodontics)
622 ROOSEVELT RD, STE 180
SAINT CLOUD, MN 56301
Stearns County (320) 259-5078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota Head And Neck Pain Clinic, PA's NPI number?

The NPI number for Minnesota Head And Neck Pain Clinic, PA is 1003316852. It was assigned to this organization in the NPPES registry on February 19, 2018. The provider is doing business as Minnesota Head & Neck Pain Clinic.

Where is Minnesota Head And Neck Pain Clinic, PA located?

Minnesota Head And Neck Pain Clinic, PA is located at 622 Roosevelt Rd, Saint Cloud, MN 56301. The listed phone number is (763) 577-2484.

What is Minnesota Head And Neck Pain Clinic, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

What insurance does Minnesota Head And Neck Pain Clinic, PA accept?

Health plans from UnitedHealthcare list Minnesota Head And Neck Pain Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minnesota Head And Neck Pain Clinic, PA was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.