OrthodontistIndex

Imagine Orthodontics

Orthodontic practice in Rogers, MN

Registered orthodontistLicense # listed (MN)

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Public-record details

Address
14020 Northdale Blvd, Rogers, MN 55374
Phone
(763) 428-1912
Listed under
Orthodontic practices
NPI
1417142175
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Orthodontics and Dentofacial Orthopedics (1223X0400X)
License number on NPI record
11778 (MN)
Authorized official
Sarah Soltys Larson, DDS, President
NPI first issued
Sep 6, 2007
NPI record last updated
Sep 30, 2009

NPI 1417142175 is active in the federal NPPES registry (CMS) with Orthodontics and Dentofacial Orthopedics, an ADA-recognized dental specialty, as its primary taxonomy; license 11778 (MN) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Orthodontists are dentists who completed an accredited orthodontic residency after dental school. General dentists can also offer braces or aligners, but they are not listed here.

View NPI 1417142175 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.

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