Active NPI
Michail Raptopoulos
- Dentist
- Minneapolis, MN
National Provider Identifier
1043870561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- R741
- Practice address
- 515 Delaware St. SE
7-368 Moos Tower
Minneapolis, MN 55455 - Phone
- (612) 625-5166
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | R741 | MN | Primary |
Addresses
Primary practice location
515 Delaware St. SE
7-368 Moos Tower
Minneapolis, MN 55455
Mailing address
313 Oak St SE Apt 504
Minneapolis, MN 55414-2962
Phone (651) 352-3143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R741 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1043870561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 OAK ST SE APT 504",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142962",
"telephone_number": "651-352-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DELAWARE ST. SE",
"address_2": "7-368 MOOS TOWER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-625-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPTOPOULOS",
"first_name": "MICHAIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "R741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.