Satya Rajeswari Molleti

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D11736 Issued in MN

Practice address

410 Church St SE
Minneapolis, MN 55455-0340

Phone

(612) 625-8400

NPI assigned

Nov 9, 2006

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

State licenses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184794687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13212 GRAND OAK CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CHURCH ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550340",
            "telephone_number": "612-625-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLETI",
        "first_name": "SATYA",
        "middle_name": "RAJESWARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "D11736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Mollan, CD(DONA)
• Whitney Fayone Mollenhauer, MCN, RDN
• James Herman Moller, M.D.
• Karlind Theodore Moller, SLP
• Sanjana Molleti
• Lorelle Mollien
• Eva Mollinedo, LCSW
• Molly Louise Nicholson
• Molly Perry Counseling, P.C.
• Lisa M Molnar, RD

• Periodontics in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Periodontics 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.
• 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.