Individual provider Active NPI

Haseen Syed, DDS

  • Dentist
  • Bloomington, MN
National Provider Identifier
1184846305
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11867 Issued in MN
Practice address
8900 Penn Ave S
Suite #202
Bloomington, MN 55431-2068
Phone
(952) 888-1861
Fax
(952) 888-1883
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11867 MN Primary

Addresses

Primary practice location

8900 Penn Ave S
Suite #202
Bloomington, MN 55431-2068

Mailing address

8900 Penn Ave S
Suite #202
Bloomington, MN 55431-2068
Phone (952) 888-1861

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160811002822 MN Order and Referring Only - DentistPractitioner - Dentist 4880988955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bismillah Dental Care PLLC General Practice PastSince May 1, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1184846305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE S",
            "address_2": "SUITE #202",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312068",
            "telephone_number": "952-888-1861",
            "fax_number": "952-888-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE S",
            "address_2": "SUITE #202",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312068",
            "telephone_number": "952-888-1861",
            "fax_number": "952-888-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "HASEEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.