Active NPI
Ryze United LLC
- Clinic/Center
- Minneapolis, MN
National Provider Identifier
1073253613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- RYZE UNITED LLC
- Practice address
- 912 E 24TH St Ste A154
Minneapolis, MN 55404-3875 - Phone
- (952) 994-6151
- NPI assigned
- Mar 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdirahman Omar
- Title
- Owner
- Phone
- (952) 994-6151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
912 E 24TH St Ste A154
Minneapolis, MN 55404-3875
Mailing address
912 E 24TH St Ste A154
Minneapolis, MN 55404-3875
National Provider Directory
National Provider DirectoryLocations
912 E 24th St
Ste A154
Minneapolis, MN 55404
Phone (952) 994-6151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1073253613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 E 24TH ST STE A154",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 E 24TH ST STE A154",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043875",
"telephone_number": "952-994-6151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYZE UNITED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-31",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "OMAR",
"authorized_official_first_name": "ABDIRAHMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-994-6151"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"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 Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.