SOUTHERN CITIES COMMUNITY CLINIC
NPI 1730630393
Dentist in Faribault, MN

Active since October 19, 2016
400 4TH ST NW, FARIBAULT, MN 55021(507) 384-6830 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2019, Oct 19, 2016 (2 updates tracked since 2016).

  • Organization
  • Dentist
  • Accepts Insurance

About SOUTHERN CITIES COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Southern Cities Community Clinic, a provider established in Faribault, Minnesota operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1730630393 assigned on October 2016. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Southern Cities Community Clinic 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 Nancy Kaiser (Reimbursement Specialist)

NPI
1730630393 Verify this NPI
Provider Name
SOUTHERN CITIES COMMUNITY CLINIC
Entity Type
Organization
Location Address
400 4TH ST NW FARIBAULT, MN 55021
Location Phone
(507) 384-6830
Mailing Address
PO BOX 64979 SAINT PAUL, MN 55164
Mailing Phone
(651) 431-5884
Mailing Fax
(651) 431-7505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2016
Last Update Date
09-04-2019
Code Navigator

A dentist like Southern Cities Community Clinic is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

NANCY KAISER

Authorized Official Title
REIMBURSEMENT SPECIALIST
Authorized Official Phone
(651) 431-3710

Reviews for SOUTHERN CITIES COMMUNITY CLINIC

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Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
400 4TH ST NW, SUITE A3A
FARIBAULT, MN 55021
Pharmacist (Psychiatric)
400 4TH ST NW
FARIBAULT, MN 55021
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
400 4TH ST NW
FARIBAULT, MN 55021
Pharmacist (Psychiatric)
400 4TH ST NW
FARIBAULT, MN 55021
Nurse Practitioner (Psychiatric/Mental Health)
400 4TH ST NW
FARIBAULT, MN 55021
Dental Hygienist
400 4TH ST NW
FARIBAULT, MN 55021
Social Worker (Clinical)
400 4TH ST NW
FARIBAULT, MN 55021
Psychiatry & Neurology (Psychiatry)
400 4TH ST NW
FARIBAULT, MN 55021
Dental Hygienist
400 4TH ST NW
FARIBAULT, MN 55021
Dental Hygienist
400 4TH ST NW
FARIBAULT, MN 55021
Dental Hygienist
400 4TH ST NW
FARIBAULT, MN 55021
Advanced Practice Dental Therapist
400 4TH ST NW
FARIBAULT, MN 55021
Internal Medicine (Geriatric Medicine)
400 4TH ST NW
FARIBAULT, MN 55021
Psychiatry & Neurology (Forensic Psychiatry)
400 4TH ST NW
FARIBAULT, MN 55021
Dentist
400 4TH ST NW
FARIBAULT, MN 55021
Dentist
400 4TH ST NW
FARIBAULT, MN 55021
General Practice
400 4TH ST NW
FARIBAULT, MN 55021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730630393, enumerated as an "organization" on October 19, 2016.

The provider is located at 400 4TH ST NW FARIBAULT, MN 55021 and the phone number is (507) 384-6830.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.