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

Q: What is Minnesota Craniofacial Center P.C.'s NPI number?

The NPI number for Minnesota Craniofacial Center P.C. is 1104160480. It was assigned to this organization in the NPPES registry on November 26, 2012.

Q: What is Minnesota Craniofacial Center P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 26, 2012

2550 UNIVERSITY AVE W, SUITE 143N, SAINT PAUL, MN 55114(651) 642-1013(651) 642-0947 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Minnesota Craniofacial Center P.c. NPPES

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

MINNESOTA CRANIOFACIAL CENTER P.C. (NPI 1104160480) is a healthcare organization registered as a clinic/center in Saint Paul, Minnesota and active in the NPI registry since November 2012. The organization lists Kim Marie Ledermann, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1104160480

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMINNESOTA CRANIOFACIAL CENTER P.C.

Location Address2550 UNIVERSITY AVE W, SUITE 143NSaint Paul, MN 55114-1052

Mailing Address2550 University Ave W, Suite 143nSaint Paul, MN 55114-1052 · (651) 642-1013 · Fax (651) 642-0947

Phone(651) 642-1013

Fax(651) 642-0947

Organization SubpartNo

Authorized OfficialKim Marie LedermannDentist/owner · (651) 642-1013

Enumeration DateNovember 26, 2012

Last NPPES UpdateJune 11, 2015

✔ NPI 1104160480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MN · 11715

Definition

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).

2550 UNIVERSITY AVE W, Saint Paul, MN 55114

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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.

MRS. MELISSA LEA URBANEK LMFT

Marriage & Family Therapist

2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114

Ramsey County (651) 647-1900

MICHELLE S KENNEDY MD

Internal Medicine (Gastroenterology)

2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114

Ramsey County (612) 870-5557

TYANN ZEAL R.D., L.D.

Dietitian, Registered

2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Ramsey County (952) 993-6200

AMY LAWRENCE L.M.F.T.

Marriage & Family Therapist

2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114

Ramsey County (651) 645-5323

SHANNON O'DONNELL L.P.

Psychologist (Clinical)

2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114

Ramsey County (651) 645-5323

EMILY KATHRYN KAHNERT DPT

Physical Therapist

2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114

Ramsey County (651) 332-7474

GERALD PATRICK CRIMMINS PSYD CP

Psychologist

2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114

Ramsey County (651) 645-3115

CARMEN JEAN JACOBSON P.A.-C

Physician Assistant (Medical)

2550 UNIVERSITY AVE W, SUITE 110N
SAINT PAUL, MN 55114

Ramsey County (651) 602-5311

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 Craniofacial Center P.C.'s NPI number?

The NPI number for Minnesota Craniofacial Center P.C. is 1104160480. It was assigned to this organization in the NPPES registry on November 26, 2012.

Where is Minnesota Craniofacial Center P.C. located?

Minnesota Craniofacial Center P.C. is located at 2550 University Ave W Suite 143N, Saint Paul, MN 55114. The listed phone number is (651) 642-1013.

What is Minnesota Craniofacial Center P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Minnesota Craniofacial Center P.C. was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.