Active NPI
Shanti Kaimal, BDS, MDS
- Dentist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- FL37
- Practice address
- 515 Delaware St SE
6-320 Moos Tower
Minneapolis, MN 55455-0357 - Phone
- (612) 625-2140
- Fax
- (612) 626-0138
- NPI assigned
- Apr 16, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | FL37 | MN | Primary |
Addresses
Primary practice location
515 Delaware St SE
6-320 Moos Tower
Minneapolis, MN 55455-0357
Mailing address
515 Delaware St SE
6-320 Moos Tower
Minneapolis, MN 55455-0357
Phone (612) 625-2140
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
515 Delaware St SE
07 530 Moos Health Science Tower
Minneapolis, MN 55455-0357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL37 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients |
Locations
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
420 Delaware St SE
Ste MMC83
Minneapolis, MN 55455
515 Delaware St SE
Ste 7-521
Minneapolis, MN 55455
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
dba Community-University Health Care Center
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
dba University of Minnesota Oral and Maxillofacial Surgeons
- Oral and Maxillofacial Surgery Clinic/Center
- Minneapolis, MN
- NPI 1164763629
-
dba Boynton Health Service
- Clinic Pharmacy
- Minneapolis, MN
- NPI 1528288875
-
dba University Oral Pathology Laboratory
- Clinical Medical Laboratory
- Minneapolis, MN
- NPI 1962572784
-
- Adult Mental Health Clinic/Center
- St Louis Park, MN
- NPI 1144368531
-
dba Dental Clinic
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1952546061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1124385018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 DELAWARE ST SE",
"address_2": "6-320 MOOS TOWER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550357",
"telephone_number": "612-625-2140",
"fax_number": "612-626-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DELAWARE ST SE",
"address_2": "6-320 MOOS TOWER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550357",
"telephone_number": "612-625-2140",
"fax_number": "612-626-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIMAL",
"first_name": "SHANTI",
"name_prefix": "Dr.",
"credential": "BDS, MDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "FL37",
"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 Apr 16, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.