Shirene R Orandi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10687 Issued in MN

Practice address

4178 Knob Dr
Suite D
Eagan, MN 55122-2888

Phone

(651) 688-3545

Fax

(651) 688-8650

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174614572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 PEBBLE BEACH WAY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232171",
            "telephone_number": "651-340-6800",
            "fax_number": "651-688-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 KNOB DR",
            "address_2": "SUITE D",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222888",
            "telephone_number": "651-688-3545",
            "fax_number": "651-688-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORANDI",
        "first_name": "SHIRENE",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "10687",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Eagan, MN
• Providers in Eagan, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.