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CASEY CHISHOLM DT
NPI 1730958141
Dentist - General Practice in Minneapolis, MN

Active since December 27, 2023
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413(612) 746-1530 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Casey Chisholm Dt NPPES

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

CASEY CHISHOLM DT (NPI 1730958141) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (1700941218) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1730958141
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCASEY CHISHOLMCredential: DT
Location Address636 BROADWAY ST NEMinneapolis, MN 55413-2164
Mailing Address636 Broadway St NeMinneapolis, MN 55413-2164
Phone(612) 746-1530
Sole ProprietorNo
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1730958141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 1700941218
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
636 BROADWAY ST NE, Minneapolis, MN 55413
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Other Providers at the Same Location NPPES 20

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

MRS. HEATHER GLOCKLE R.D.H.
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
SONDRA NICKOLSON R.D.H., M.E.D.
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
NICOLE MATHEW DT
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
MRS. TERESA BUSHNELL
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
TRINA COURTRIGHT D.T.
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
BECKY LOMMEN
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
JODI BECKER
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
MELISSA JO CASPER
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530

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 Casey Chisholm's NPI number?

The NPI number for Casey Chisholm is 1730958141. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Where is Casey Chisholm located?

Casey Chisholm practices at 636 Broadway St NE, Minneapolis, MN 55413. The listed phone number is (612) 746-1530.

What is Casey Chisholm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Casey Chisholm was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.