PATRICK J ENNEN DDS PA
NPI 1346393485
Clinic/Center - Dental in Coon Rapids, MN

NPI Status: Active since January 20, 2007

Contact Information

3960 COON RAPIDS BLVD NW
213
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-4912

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  • Organization
  • Clinic/Center
  • Dental

About PATRICK J ENNEN DDS PA

This page provides the complete NPI Profile along with additional information for Patrick J Ennen Dds Pa, a provider established in Coon Rapids, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1346393485 assigned on January 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 7668 (MN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Patrick Joseph Ennen Dds (President)

NPI
1346393485
Provider Name
PATRICK J ENNEN DDS PA
Entity Type
Organization
Location Address
3960 COON RAPIDS BLVD NW 213 COON RAPIDS, MN 55433
Location Phone
(763) 427-4912
Mailing Address
3960 COON RAPIDS BLVD NW 213 COON RAPIDS, MN 55433
Mailing Phone
(763) 427-4912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2007
Last Update Date
08-22-2020
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
7668
License State
MN

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. PATRICK JOSEPH ENNEN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(763) 427-4912

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346393485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386696416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 9 + 6 + 4 + 1 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1346393485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. HELMER EDWARD SWENSON JR. M.D.

Urology

3960 COON RAPIDS BLVD NW
SUITE 300
COON RAPIDS, MN
ZIP 55433

(763) 422-4665

MARTIN ZADNIK MD

Surgery

3960 COON RAPIDS BLVD NW
SUITE 104
COON RAPIDS, MN
ZIP 55433

(763) 236-9000

SARAH BETH SCHOEL MD

Obstetrics & Gynecology

3960 COON RAPIDS BLVD NW
SUITE 101
COON RAPIDS, MN
ZIP 55433

(763) 236-9236

GABRIEL KOMJATHY

Urology

3960 COON RAPIDS BLVD NW
SUITE 104
COON RAPIDS, MN
ZIP 55433

(612) 576-7600

ROBERT WILLIAM TOFTE MD

Internal Medicine

(Infectious Disease)

3960 COON RAPIDS BLVD NW
SUITE 104
COON RAPIDS, MN
ZIP 55433

(763) 422-6122

ALAN STUART JOHNSON MD

Surgery

3960 COON RAPIDS BLVD NW
SUITE 104
COON RAPIDS, MN
ZIP 55433

(763) 236-9000

MICHELLE RAE LINDMAN-MILLER MD

Obstetrics & Gynecology

3960 COON RAPIDS BLVD NW
SUITE101
COON RAPIDS, MN
ZIP 55433

(763) 236-9236

CONLITH ANNE JAMISON WHCNP

Nurse Practitioner

3960 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433

(763) 236-9236

RODNEY CLYDE LOVETT MD

Surgery

3960 COON RAPIDS BLVD NW
SUITE 104
COON RAPIDS, MN
ZIP 55433

(612) 576-7600

ANNE C WHITNEY MD

Internal Medicine

3960 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433

(763) 236-9400

DR. PATRICK JOSEPH ENNEN DDS

Dentist

(Periodontics)

3960 COON RAPIDS BLVD NW
SUITE 213
COON RAPIDS, MN
ZIP 55433

(763) 427-4912

DAVID D MILLER MD

Internal Medicine

3960 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433

(763) 236-9400

DR. BUTCH MAYNER HUSTON MD

Pathology

(Forensic Pathology)

3960 COON RAPIDS BLVD NW
SUITE LL21
COON RAPIDS, MN
ZIP 55433

(763) 236-9050

MARY THERESA WATSON WHCNP

Nurse Practitioner

3960 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433

(763) 236-9236

MR. THEODORE JOSEPH BUSELMEIER M.D.

Dermatology

3960 COON RAPIDS BLVD NW
SUITE 116
COON RAPIDS, MN
ZIP 55433

(763) 427-8113

JANIS CAROL AMATUZIO M.D.

Pathology

(Forensic Pathology)

3960 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433

(763) 236-9050

DR. RAMON AGUIRRE D.D.S., M.S.

Dentist

(Endodontics)

3960 COON RAPIDS BLVD NW
SUITE 320
COON RAPIDS, MN
ZIP 55433

(763) 427-1720

DR. KIRK ARLAN DULAC D.D.S., M.S.D.

Dentist

(Endodontics)

3960 COON RAPIDS BLVD NW
SUITE 320
COON RAPIDS, MN
ZIP 55433

(763) 427-1720

ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.

Dermatology

3960 COON RAPIDS BLVD NW
SUITE 116
COON RAPIDS, MN
ZIP 55433

(763) 427-8113

MINNESOTA ONCOLOGY HEMATOLOGY, PA

Obstetrics & Gynecology

(Gynecologic Oncology)

3960 COON RAPIDS BLVD NW
SUITE 101
COON RAPIDS, MN
ZIP 55433

(612) 863-8585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346393485, enumerated as an "organization" on January 20, 2007.

The provider is located at 3960 COON RAPIDS BLVD NW 213 COON RAPIDS, MN 55433 and the phone number is (763) 427-4912.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.