NPIMap

Organization Active NPI

Lubomir Serafimov DDS , P.a.

  • Dentist
  • West Saint Paul, MN
National Provider Identifier
1073610259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11864 Issued in MN
Legal business name
LUBOMIR SERAFIMOV DDS , P.A.
Practice address
250 Wentworth Ave E
West Saint Paul, MN 55118-3507
Phone
(651) 455-1601
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lubomir SerafimovNPI 1871693580
Title
President
Phone
(651) 455-1601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D11864 MN Primary

Addresses

Primary practice location

250 Wentworth Ave E
West Saint Paul, MN 55118-3507

Mailing address

250 Wentworth Ave E
West Saint Paul, MN 55118-3507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073610259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WENTWORTH AVE E",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WENTWORTH AVE E",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183507",
            "telephone_number": "651-455-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBOMIR SERAFIMOV DDS , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERAFIMOV",
        "authorized_official_first_name": "LUBOMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-455-1601"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.