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GENOVATIONS REGEN PLLC
NPI 1457005548
Clinic/Center in Eagan, MN

Active since February 08, 2022
2228 JAMES ST, EAGAN, MN 55122(210) 630-0146 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2022, Feb 8, 2022 (2 updates tracked since 2022).

About Genovations Regen Pllc NPPES

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

GENOVATIONS REGEN PLLC (NPI 1457005548) is a healthcare organization registered as a clinic/center in Eagan, Minnesota and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Eagan and lists Jennifer Lynn Ergang, Owner, as its authorized official.

NPPES Registry Identity

NPI1457005548
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENOVATIONS REGEN PLLC
Location Address2228 JAMES STEagan, MN 55122-2336
Mailing Address2228 James StEagan, MN 55122-2336
Phone(210) 630-0146
Organization SubpartNo
Authorized OfficialJennifer Lynn ErgangOwner · (210) 630-0146
Enumeration DateFebruary 8, 2022
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1457005548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2228 JAMES ST, Eagan, MN 55122
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Secondary Practice Location 1

Location 11440 Duckwood DrEagan, MN 55122-1451 · Phone (651) 203-4673

Group Practice 1

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

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 Genovations Regen PLLC's NPI number?

The NPI number for Genovations Regen PLLC is 1457005548. It was assigned to this organization in the NPPES registry on February 8, 2022.

Where is Genovations Regen PLLC located?

Genovations Regen PLLC is located at 2228 James St, Eagan, MN 55122. The listed phone number is (210) 630-0146.

What is Genovations Regen PLLC'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 Genovations Regen PLLC was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.