FOUNDATIONS PSA LLC
NPI 1275318628
Dentist - General Practice in Chaska, MN
About Foundations Psa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUNDATIONS PSA LLC (NPI 1275318628) is a healthcare organization registered as a general practice in Chaska, Minnesota and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Mound and lists Stephanie Miner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Foundations Psa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Foundations Psa LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Foundations Psa LLC's NPI number?
The NPI number for Foundations Psa LLC is 1275318628. It was assigned to this organization in the NPPES registry on August 25, 2023.
Where is Foundations Psa LLC located?
Foundations Psa LLC is located at 126 Pioneer Trl, Chaska, MN 55318. The listed phone number is (952) 472-7738.
What is Foundations Psa LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Foundations Psa LLC enrolled in Medicare?
Yes. Foundations Psa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Foundations Psa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Foundations Psa LLC, in Dentist and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Foundations Psa LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Foundations Psa Llc · NPI 1275318628
General Practice organization in Chaska, Minnesota. Organization record, active in the CMS NPPES registry since August 25, 2023.
## Identity
- **NPI:** 1275318628 (Entity type: Organization)
- **Enumerated:** August 25, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Stephanie Miner, OWNER
## Practice location
- **Address:** 126 PIONEER TRL, Chaska, MN 55318-1167
- **Phone:** (952) 472-7738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (1), Oral Surgery (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1275318628) · Data from the CMS NPPES public registry.