PRIOR LAKE ORTHODONTICS
NPI 1679618326
Dentist - Orthodontics and Dentofacial Orthopedics in Prior Lake, MN

Active since February 20, 2007
5116 GATEWAY STREET SE #103, SUITE #103, PRIOR LAKE, MN 55372(952) 447-6088(952) 447-6099 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prior Lake Orthodontics NPPES

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

PRIOR LAKE ORTHODONTICS (NPI 1679618326) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Prior Lake, Minnesota and active in the NPI registry since February 2007. The organization lists Joseph Samuel Basile, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1679618326
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameBASILE ORTHODONTICS PA
Location Address5116 GATEWAY STREET SE #103, SUITE #103Prior Lake, MN 55372
Mailing Address5116 Gateway St. S.e., Suite 103Prior Lake, MN 55372 · (952) 447-6088 · Fax (952) 447-6099
Fax(952) 447-6099
Organization SubpartYes
Authorized OfficialJoseph Samuel BasileOrthodontist · (952) 454-5345
Enumeration DateFebruary 20, 2007
Last NPPES UpdateFebruary 17, 2009
NPI 1679618326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MN · MN10983
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

5116 GATEWAY STREET SE #103, Prior Lake, MN 55372

Other Names 1

Doing Business AsPrior Lake Orthodontics

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

Accepted Insurance

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 Basile Orthodontics PA's NPI number?

The NPI number for Basile Orthodontics PA is 1679618326. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Prior Lake Orthodontics.

Where is Basile Orthodontics PA located?

Basile Orthodontics PA is located at 5116 Gateway Street SE #103 Suite #103, Prior Lake, MN 55372. The listed phone number is (952) 447-6088.

What is Basile Orthodontics PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Basile Orthodontics PA accept?

Health plans from UnitedHealthcare list Basile Orthodontics PA 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 Basile Orthodontics PA was last updated on February 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.