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

Q: What is Eagan Child And Family Care, P.A.'s NPI number?

The NPI number for Eagan Child And Family Care, P.A. is 1629000682. It was assigned to this organization in the NPPES registry on July 7, 2006.

Q: What is Eagan Child And Family Care, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 07, 2006

4178 KNOB DR, SUITE A, EAGAN, MN 55122(651) 209-8640(651) 209-8690 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Eagan Child And Family Care, P.a. NPPES

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

EAGAN CHILD AND FAMILY CARE, P.A. (NPI 1629000682) is a healthcare organization registered as a pediatrics in Eagan, Minnesota and active in the NPI registry since July 2006. The organization lists Gretchen A Moen, President, as its authorized official.

NPPES Registry Identity

NPI1629000682

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameEAGAN CHILD AND FAMILY CARE, P.A.

Location Address4178 KNOB DR, SUITE AEagan, MN 55122-2888

Mailing Address4178 Knob Dr, Suite AEagan, MN 55122-2888 · (651) 209-8640 · Fax (651) 209-8690

Phone(651) 209-8640

Fax(651) 209-8690

Organization SubpartNo

Authorized OfficialGretchen A MoenPresident · (651) 209-8640

Enumeration DateJuly 7, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1629000682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 1650

Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 1650 (MN)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1650 (MN)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 1650 (MN)

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 1650 (MN)

4178 KNOB DR, Eagan, MN 55122

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

SHIRENE R ORANDI D.D.S.

Dentist (General Practice)

4178 KNOB DR, SUITE D
EAGAN, MN 55122

Dakota County (651) 688-3545

ELIZABETH MARIE DORN CNP

Nurse Practitioner (Family)

4178 KNOB DR, SUITE A
EAGAN, MN 55122

Dakota County (651) 209-8640

LISA ELEANOR FAHEY-BLEICK CNP

Nurse Practitioner (Family)

4178 KNOB DR, SUITE A
EAGAN, MN 55122

Dakota County (651) 209-8640

DR. JEFFREY ALLEN RUD DDS

Dentist

4178 KNOB DR
EAGAN, MN 55122

Dakota County (651) 452-4317

DR. ANGELA K HILO DDS

Dentist

4178 KNOB DR, SUITE C
EAGAN, MN 55122

Dakota County (651) 452-4317

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 Child And Family Care, P.A.'s NPI number?

The NPI number for Eagan Child And Family Care, P.A. is 1629000682. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Eagan Child And Family Care, P.A. located?

Eagan Child And Family Care, P.A. is located at 4178 Knob Dr Suite A, Eagan, MN 55122. The listed phone number is (651) 209-8640.

What is Eagan Child And Family Care, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Eagan Child And Family Care, P.A. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.