MINNESOTA HEAD AND NECK PAIN CLINIC, PA
NPI 1710854369
Dentist - Orofacial Pain in Woodbury, MN

Active since October 20, 2025
3100 WOODBURY DR, WOODBURY, MN 55129(763) 577-2484(763) 577-1375 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minnesota Head And Neck Pain Clinic, Pa NPPES

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

MINNESOTA HEAD AND NECK PAIN CLINIC, PA (NPI 1710854369) is a healthcare organization registered as an orofacial pain in Woodbury, Minnesota and active in the NPI registry since October 2025. The organization lists Cory Reid Herman, Owner, as its authorized official.

NPPES Registry Identity

NPI1710854369
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameMINNESOTA HEAD AND NECK PAIN CLINIC, PA
Location Address3100 WOODBURY DRWoodbury, MN 55129-9600
Mailing Address3475 Plymouth Blvd Ste 200Plymouth, MN 55447-1539 · (763) 577-2484 · Fax (763) 577-1375
Fax(763) 577-1375
Organization SubpartYes
Authorized OfficialCory Reid HermanOwner · (763) 577-2484
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1710854369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
3100 WOODBURY DR, Woodbury, MN 55129

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
3100 WOODBURY DR
WOODBURY, MN 55129
Dentist (Orthodontics and Dentofacial Orthopedics)
3100 WOODBURY DR
WOODBURY, MN 55129
Dentist (Orthodontics and Dentofacial Orthopedics)
3100 WOODBURY DR
WOODBURY, MN 55129
Massage Therapist
3100 WOODBURY DR, SUITE 200
WOODBURY, MN 55129
Dentist (Orthodontics and Dentofacial Orthopedics)
3100 WOODBURY DR
WOODBURY, MN 55129

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 Minnesota Head And Neck Pain Clinic, PA's NPI number?

The NPI number for Minnesota Head And Neck Pain Clinic, PA is 1710854369. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Minnesota Head And Neck Pain Clinic, PA located?

Minnesota Head And Neck Pain Clinic, PA is located at 3100 Woodbury Dr, Woodbury, MN 55129. The listed phone number is (763) 577-2484.

What is Minnesota Head And Neck Pain Clinic, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

When was this NPI record last updated?

The NPPES record for Minnesota Head And Neck Pain Clinic, PA was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.