Active NPI
Zainah M Shaker, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Blaine, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D13530
- Practice address
- 1351 113TH Ave NE Ste 400B
Blaine, MN 55434-3874 - Phone
- (763) 415-1222
- NPI assigned
- Mar 5, 2015
- Last updated
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.034271 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6002286-15 | WI | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D13530 | MN | Primary |
Addresses
Primary practice location
1351 113TH Ave NE Ste 400B
Blaine, MN 55434-3874
Mailing address
1351 113TH Ave NE Ste 400B
Blaine, MN 55434-3874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034271 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | General Practice | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | General Practice | Current | Accepting new patients |
| All Kids Dental Center, LLC | General Practice | Past | Accepting new patients |
| Twin Anesthesia LLC | Past | Accepting new patients |
Locations
200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848
2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200
3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Apple Valley Dental Clinic
- General Practice Dentistry
- Apple Valley, MN
- NPI 1073668877
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Certified Registered Nurse Anesthetist
- Blaine, MN
- NPI 1558184739
-
- General Practice Dentistry
- Melrose Park, IL
- NPI 1003246927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1083007744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 113TH AVE NE STE 400B",
"city": "BLAINE",
"state": "MN",
"postal_code": "554343874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 113TH AVE NE STE 400B",
"city": "BLAINE",
"state": "MN",
"postal_code": "554343874",
"telephone_number": "763-415-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKER",
"first_name": "ZAINAH",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.034271",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "6002286-15",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MN",
"license": "D13530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.