Active NPI
Jeffrey Ross Remakel, D.D.S
- Dentist
- St Louis Park, MN
National Provider Identifier
1194012385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12954
- Practice address
- 5000 W 36TH St Ste 250
St Louis Park, MN 55416-2776 - Phone
- (952) 920-3700
- NPI assigned
- Jul 7, 2011
- Last updated
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | D12954 | MN | Primary |
Addresses
Primary practice location
5000 W 36TH St Ste 250
St Louis Park, MN 55416-2776
Mailing address
5000 W 36TH St Ste 250
St Louis Park, MN 55416-2776
Phone (952) 920-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12954 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Specialists of Minnesota, PLLC | Past | Accepting new patients | |
| PDG, P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Dental Specialists
- Pediatric Dentistry
- St Louis Park, MN
- NPI 1508094632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1194012385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 W 36TH ST STE 250",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162776",
"telephone_number": "952-920-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W 36TH ST STE 250",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162776",
"telephone_number": "952-920-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMAKEL",
"first_name": "JEFFREY",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D12954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
- Kenneth Richard Reimann, OTRL
- Phoebe C Reinhart, PT
- Kyle Maximilian Reiter, CRNA
- Kassandra Lee Reker, LMHP, PLP
- Relationship Therapy Center PC
- Remedy Cove Counseling LLC
- Renal Treatment Centers-Illinois Inc. (St Louis Park Dialysis Center)
- Rachel K Rennert, MS
- Michelle Resor
- Restwell Mattress Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.