NPIMap

Organization Active NPI

Excel Dentistry

  • General Practice Dentistry
  • St Louis Park, MN
National Provider Identifier
1073789913
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11992 Issued in MN
Legal business name
EXCEL DENTISTRY
Practice address
8001 Highway 7
Suite 100
St Louis Park, MN 55426-3942
Phone
(952) 746-3233
Fax
(952) 746-3235
NPI assigned
Apr 30, 2008
Last updated
Aug 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Dr. Hatem Alassy, BDSNPI 1669461802
Title
Treasurer
Phone
(714) 580-4353

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
General Practice Dentistry 1223G0001X D11992 MN Primary

Addresses

Primary practice location

8001 Highway 7
Suite 100
St Louis Park, MN 55426-3942

Mailing address

8001 Highway 7
Suite 100
St Louis Park, MN 55426-3942
Phone (952) 746-3233

National Provider Directory

National Provider Directory
Tax ID family
Excel Dentistry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8001 Highway 7
Ste 100
St Louis Park, MN 55426
Phone (952) 746-3233

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1073789913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 HIGHWAY 7",
            "address_2": "SUITE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263942",
            "telephone_number": "952-746-3233",
            "fax_number": "952-746-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 HIGHWAY 7",
            "address_2": "SUITE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263942",
            "telephone_number": "952-746-3233",
            "fax_number": "952-746-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "ALASSY",
        "authorized_official_first_name": "HATEM",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "714-580-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.