Individual provider Active NPI

Natalie Jacqueline Danisi, DDS

  • Dentist
  • Minneapolis, MN
National Provider Identifier
1043996010
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14940 Issued in MN
Practice address
7710 Brooklyn Blvd Floor 1
Minneapolis, MN 55443
Phone
(651) 292-9331
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14940 MN Primary

Addresses

Primary practice location

7710 Brooklyn Blvd Floor 1
Minneapolis, MN 55443

Mailing address

1800 W Lake St. #212
Minneapolis, MN 55408
Phone (913) 461-1051

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

LicenseStateTypeSpecialty
D14940MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CLD - Brooklyn Park MN, LLC CurrentSince Jul 2, 2023 Accepting new patients
Ignite Dental PLLC PastSince Jul 2, 2023 Accepting new patients

Locations

7710 Brooklyn Blvd
Fl 1
Minneapolis, MN 55443
Phone (651) 292-9331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1043996010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W LAKE ST. #212",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "913-461-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 BROOKLYN BLVD FLOOR 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "651-292-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANISI",
        "first_name": "NATALIE",
        "middle_name": "JACQUELINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14940",
            "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 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.