EAGAN CHILD AND FAMILY CARE, P.A.
NPI 1629000682
Pediatrics in Eagan, MN

NPI Status: Active since July 07, 2006

Contact Information

4178 KNOB DR
SUITE A
EAGAN, MN
ZIP 55122
Phone: (651) 209-8640
Fax: (651) 209-8690

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  • Organization
  • Pediatrics

About EAGAN CHILD AND FAMILY CARE, P.A.

This page provides the complete NPI Profile along with additional information for Eagan Child And Family Care, P.a., a pediatrician established in Eagan, Minnesota operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1629000682 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 1650 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. Eagan Child And Family Care, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gretchen A Moen Cpnp (President)

NPI
1629000682
Provider Name
EAGAN CHILD AND FAMILY CARE, P.A.
Entity Type
Organization
Location Address
4178 KNOB DR SUITE A EAGAN, MN 55122
Location Phone
(651) 209-8640
Location Fax
(651) 209-8690
Mailing Address
4178 KNOB DR SUITE A EAGAN, MN 55122
Mailing Phone
(651) 209-8640
Mailing Fax
(651) 209-8690
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2006
Last Update Date
09-11-2025
Code Navigator

A pediatrician like Eagan Child And Family Care, P.a. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
1650
License State
MN
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

1650 (MN)
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

1650 (MN)
3363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

1650 (MN)
4363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

1650 (MN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

GRETCHEN A MOEN CPNP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(651) 209-8640

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629000682, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 0 + 0 + 6 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1629000682.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
4178 KNOB DR, SUITE A
EAGAN, MN 55122
Dentist (General Practice)
4178 KNOB DR, SUITE D
EAGAN, MN 55122
Dentist
4178 KNOB DR, SUITE C
EAGAN, MN 55122
Dentist
4178 KNOB DR
EAGAN, MN 55122
Nurse Practitioner (Family)
4178 KNOB DR, SUITE A
EAGAN, MN 55122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629000682, enumerated as an "organization" on July 07, 2006.

The provider is located at 4178 KNOB DR SUITE A EAGAN, MN 55122 and the phone number is (651) 209-8640.

Pediatrics with taxonomy code 208000000X.