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

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: July 26, 2026.

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
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

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.

Marriage & Family Therapist
2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Dietitian, Registered
2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114
Marriage & Family Therapist
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Psychologist (Clinical)
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Physical Therapist
2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 110N
SAINT PAUL, MN 55114

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 with the weekly NPPES data releases published by CMS.