MINNESOTA CRANIOFACIAL CENTER P.C.
NPI 1104160480
Clinic/Center in Saint Paul, MN

NPI Status: Active since November 26, 2012

Contact Information

2550 UNIVERSITY AVE W
SUITE 143N
SAINT PAUL, MN
ZIP 55114
Phone: (651) 642-1013
Fax: (651) 642-0947

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  • Organization
  • Clinic/Center

About MINNESOTA CRANIOFACIAL CENTER P.C.

This page provides the complete NPI Profile along with additional information for Minnesota Craniofacial Center P.c., a provider established in Saint Paul, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104160480 assigned on November 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 11715 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Kim Marie Ledermann D.d.s. (Dentist/owner)

NPI
1104160480
Provider Name
MINNESOTA CRANIOFACIAL CENTER P.C.
Entity Type
Organization
Location Address
2550 UNIVERSITY AVE W SUITE 143N SAINT PAUL, MN 55114
Location Phone
(651) 642-1013
Location Fax
(651) 642-0947
Mailing Address
2550 UNIVERSITY AVE W SUITE 143N SAINT PAUL, MN 55114
Mailing Phone
(651) 642-1013
Mailing Fax
(651) 642-0947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2012
Last Update Date
06-11-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
11715
License State
MN
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KIM MARIE LEDERMANN D.D.S.

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(651) 642-1013

Reviews for MINNESOTA CRANIOFACIAL CENTER P.C.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104160480, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 2 + 6 + 0 + 4 + 1 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104160480.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVE W, STE 229N
ST. PAUL, MN 55114
Social Worker
2550 UNIVERSITY AVE W, STE 229N
ST PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Psychiatry & Neurology (Psychiatry)
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVE W, STE 229N
ST. PAUL, MN 55114
Psychiatry & Neurology (Psychiatry)
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Nurse Practitioner (Adult Health)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Pediatrics (Pediatric Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104160480, enumerated as an "organization" on November 26, 2012.

The provider is located at 2550 UNIVERSITY AVE W SUITE 143N SAINT PAUL, MN 55114 and the phone number is (651) 642-1013.

Clinic/Center with taxonomy code 261Q00000X.