EAGAN VALLEY PEDIATRICS, P.A.
NPI 1528050119
Clinic/Center in Apple Valley, MN

Active since August 19, 2005CLIA 24D0978828 · Certificate of Compliance
14135 CEDAR AVE, SUITE 100, APPLE VALLEY, MN 55124(952) 432-4373(952) 997-5679 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagan Valley Pediatrics, P.a. NPPES

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

EAGAN VALLEY PEDIATRICS, P.A. (NPI 1528050119) is a healthcare organization registered as a clinic/center in Apple Valley, Minnesota and active in the NPI registry since August 2005. The organization holds a CLIA Certificate of Compliance certificate valid through October 29, 2026 and lists James E Dufort, President, as its authorized official.

NPPES Registry Identity

NPI1528050119
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEAGAN VALLEY PEDIATRICS, P.A.
Location Address14135 CEDAR AVE, SUITE 100Apple Valley, MN 55124-4522
Mailing Address14135 Cedar Ave, Suite 100Apple Valley, MN 55124-4522 · (952) 432-4373 · Fax (952) 997-5679
Fax(952) 997-5679
Organization SubpartNo
Authorized OfficialJames E DufortPresident · (952) 432-4373
Enumeration DateAugust 19, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1528050119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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).

14135 CEDAR AVE, Apple Valley, MN 55124

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 Compliance 24D0978828

Eagan Valley Pediatrics · Apple Valley, MN
Active · expires Oct 29, 2026
CLIA Number24D0978828
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorJames E. Dufort
Laboratory Phone(952) 432-4373
Laboratory LocationEagan Valley Pediatrics14135 Cedar Ave, Apple Valley, MN 55124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Pediatrics)
14135 CEDAR AVE, SUITE 100
APPLE VALLEY, MN 55124
Chiropractor
14135 CEDAR AVE, SUITE 400
APPLE VALLEY, MN 55124
Pediatrics
14135 CEDAR AVE, SUITE 100
APPLE VALLEY, MN 55124
General Practice
14135 CEDAR AVE, STE 300
APPLE VALLEY, MN 55124
General Practice
14135 CEDAR AVE, STE 300
APPLE VALLEY, MN 55124
Chiropractor
14135 CEDAR AVE, SUITE 400
APPLE VALLEY, MN 55124
Nurse Practitioner (Pediatrics)
14135 CEDAR AVE, SUITE 100
APPLE VALLEY, MN 55124
Dentist (General Practice)
14135 CEDAR AVE, SUITE 500
APPLE VALLEY, MN 55124

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 Eagan Valley Pediatrics, P.A.'s NPI number?

The NPI number for Eagan Valley Pediatrics, P.A. is 1528050119. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is Eagan Valley Pediatrics, P.A. located?

Eagan Valley Pediatrics, P.A. is located at 14135 Cedar Ave Suite 100, Apple Valley, MN 55124. The listed phone number is (952) 432-4373.

What is Eagan Valley Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Eagan Valley Pediatrics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0978828) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagan Valley Pediatrics, P.A. accept?

Health plans from HealthPartners and Medica list Eagan Valley Pediatrics, P.A. 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 Eagan Valley Pediatrics, P.A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.