Fatima A Tiwana, BDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901020871 Issued in MI

Practice address

8515 Eagle Point Blvd Ste 200
Lake Elmo, MN 55042-8624

Phone

(651) 523-9950

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Group Health, Inc.

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683

  MN

  Medicare reassignment NPD
• Group Health, Inc.

  • General Practice Dentistry
  • Apple Valley, MN
  • NPI 1073668877
  NPD
• Group Health, Inc.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053

  Periodontics

  NPD

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1124458609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 EAGLE POINT BLVD STE 200",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428624",
            "telephone_number": "651-523-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 EAGLE POINT BLVD STE 200",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428624",
            "telephone_number": "651-523-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Martin Luther King Jr Blvd",
            "address_2": "UDMSOD Periodontology & Dental Hygiene",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482082576",
            "country_code": "US",
            "telephone_number": "313-494-6700",
            "fax_number": "313-745-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIWANA",
        "first_name": "FATIMA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901020871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Behavioral Network III, LLC
• Thrive Behavioral Network III, LLC
• Thrive HQ
• Mark L Thurnbeck, OTR
• Tina Watson Therapy
• Marta Marie Tolefree, LICSW
• Twin Cities Mental Health and Couples Center LLC
• Unity Care Limited
• Jacqueline Marie Valek, LPC, LPCC, NCC, LSC
• Valley Ridge Dental Arts

• All providers in Lake Elmo, MN
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.

Verify at the official NPI Registry.