PRIMARY ENT
NPI 1386374593
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Savage, MN

Active since June 13, 2022CLIA 24D2280302 · Waiver
14020 HWY 13 S STE 350, SAVAGE, MN 55378(952) 395-2500(952) 395-2501 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, Jul 23, 2022 (2 updates tracked since 2022).

About Primary Ent NPPES

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

PRIMARY ENT (NPI 1386374593) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Savage, Minnesota and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists John Luther Boone, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1386374593
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NamePRIMARY ENT, L.L.C.
Location Address14020 HWY 13 S STE 350Savage, MN 55378-7103
Mailing Address6021 Northwood RdgBloomington, MN 55438-1282 · (612) 406-9966
Fax(952) 395-2501
Organization SubpartNo
Authorized OfficialJohn Luther BooneOwner/president · (612) 406-9966
Enumeration DateJune 13, 2022
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1386374593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X
14020 HWY 13 S STE 350, Savage, MN 55378

Other Names 1

Doing Business AsPrimary Ent

Other Identifiers 1

Medicaid1609035781TX

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2280302

Primary Ent · Savage, MN
Active · expires Apr 17, 2027
CLIA Number24D2280302
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorMelanie L. Johnson
Laboratory Phone(952) 395-2500
Laboratory LocationPrimary Ent14020 Hwy 13 #350, Savage, MN 55378
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
14020 HWY 13 S STE 350
SAVAGE, MN 55378
Nurse Practitioner (Family)
14020 HWY 13 S STE 350
SAVAGE, MN 55378

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 Primary Ent, L.L.C.'s NPI number?

The NPI number for Primary Ent, L.L.C. is 1386374593. It was assigned to this organization in the NPPES registry on June 13, 2022. The provider is doing business as Primary Ent.

Where is Primary Ent, L.L.C. located?

Primary Ent, L.L.C. is located at 14020 Hwy 13 S Ste 350, Savage, MN 55378. The listed phone number is (952) 395-2500.

What is Primary Ent, L.L.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Does Primary Ent, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2280302) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Ent, L.L.C. accept?

Health plans from Medica list Primary Ent, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primary Ent, L.L.C. was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.