Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730958141 Individual Practitioner Female Practitioner

Casey Chisholm , DT

Dentist - General Practice • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Casey Chisholm, DT is a registered healthcare professional specializing in Dentist - General Practice in Minneapolis, MN. Practice services are available at 636 BROADWAY ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

636 Broadway St Ne

Minneapolis, MN 554132164

Telephone 6127461530
Associated Practice Facility / Clinic
🏢 Childrens Dental Services Inc Facility NPI 1407973605

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
214 Specialists

Practicing in Minneapolis, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 1700941218

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Heather Glockle , RDH

Dental Hygienist

NPI 1013239359

Registered Dental Hygienist

NPI 1023348869

Registered Dental Hygienist, Master of Education

Nicole Mathew , DT

Dental Therapist

NPI 1073013322
Teresa Bushnell

Dental Therapist

NPI 1114315678
Trina Courtright , DT

Dental Therapist

NPI 1124416789
Becky Lommen

Dental Hygienist

NPI 1154710994

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2023

Registered at 636 BROADWAY ST NE, MINNEAPOLIS, MN 554132164 (Tel: 6127461530)

📍
Updated Business Mailing Address December 27, 2023

Registered at 636 BROADWAY ST NE, MINNEAPOLIS, MN 554132164

👤
Provider Name / Credentials Updated December 27, 2023

Recorded as CASEY CHISHOLM, DT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2023

Dentist (License #1700941218 in MN)

🟢
Initial NPI Registration & Enumeration December 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730958141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2023
Last Update: December 27, 2023
Sole Proprietor: No

Mailing Address

636 Broadway St Ne

Minneapolis, MN 554132164

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.