Shiraz Mohammad Asif, BDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12191 Issued in MN

Practice address

8775 Columbine Rd
Eden Prairie, MN 55344-6695

Phone

(952) 942-0823

Fax

(952) 224-2986

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mohammad Shiraz Asif Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shiraz Asif DDS,LLC

  • Dental Clinic/Center
  • Eden Prairie, MN
  • NPI 1215174917
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1215009477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 COLUMBINE RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446695",
            "telephone_number": "952-942-0823",
            "fax_number": "952-224-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 COLUMBINE RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446695",
            "telephone_number": "952-942-0823",
            "fax_number": "952-224-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIF",
        "first_name": "SHIRAZ",
        "middle_name": "MOHAMMAD",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "ASIF",
            "middle_name": "SHIRAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• General Practice Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, 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 Mar 20, 2018; 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.