HEALTHPARTNERS APPLE VALLEY DENTAL CLINIC
NPI 1073668877
Dentist - General Practice in Apple Valley, MN

Active since January 24, 2007CLIA 24D0668591 · Accreditation
15350 ENGLISH AVE, APPLE VALLEY, MN 55124(952) 431-8583(952) 431-8528 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Healthpartners Apple Valley Dental Clinic NPPES

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

HEALTHPARTNERS APPLE VALLEY DENTAL CLINIC (NPI 1073668877) is a healthcare organization registered as a general practice in Apple Valley, Minnesota and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Kathleen M Cooney, Cao, as its authorized official.

NPPES Registry Identity

NPI1073668877
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGROUP HEALTH PLAN
Location Address15350 ENGLISH AVEApple Valley, MN 55124-6252
Mailing Address8170 33rd Ave S # 21113aBloomington, MN 55425-4516 · (952) 883-5151 · Fax (952) 883-5160
Fax(952) 431-8528
Organization SubpartNo
Authorized OfficialKathleen M CooneyCao · (952) 883-7565
Enumeration DateJanuary 24, 2007
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1073668877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

15350 ENGLISH AVE, Apple Valley, MN 55124

Other Names 1

Doing Business AsHealthpartners Apple Valley Dental Clinic

Other Identifiers 1

Medicaid3098231-00FM

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 24D0668591

Healthpartners Apple Valley Clinic Laboratory · Apple Valley, MN
Active · expires Dec 22, 2027
CLIA Number24D0668591
Laboratory TypeHealth Main. Organization
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Shannon M. Gabriel-Griggs
Laboratory Phone(952) 977-2140
Laboratory LocationHealthpartners Apple Valley Clinic Laboratory15350 English Avenue, Apple Valley, MN 55124
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Healthpartners Apple Valley Clinic carries, from the Medicare DMEPOS supplier directory.

Healthpartners Apple Valley Clinic

DMEPOS supplier · Apple Valley, MNOperated by Group Health Plan Inc

Accepts Medicare assignment

Healthpartners Apple Valley Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34358960
Medicare Participant SinceJanuary 1, 1996
Supplier Location15350 English AveApple Valley, MN 55124
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Pediatrics
15350 ENGLISH AVE
APPLE VALLEY, MN 55124

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 Group Health Plan's NPI number?

The NPI number for Group Health Plan is 1073668877. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Healthpartners Apple Valley Dental Clinic.

Where is Group Health Plan located?

Group Health Plan is located at 15350 English Ave, Apple Valley, MN 55124. The listed phone number is (952) 431-8583.

What is Group Health Plan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Group Health Plan accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Healthpartners Apple Valley Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Group Health Plan hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0668591) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Group Health Plan was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.