Ali Reza Salmanpour Sohi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D110055 Issued in MN

Practice address

188 East Little Canada Road
Little Canada, MN 55117-1332

Phone

(651) 484-7725

Fax

(651) 484-7768

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Little Canada Dental Office, Ali R Salmanpour DDS, PA

  • General Practice Dentistry
  • Little Canada, MN
  • NPI 1689355331
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225196686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 EAST LITTLE CANADA ROAD",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171332",
            "telephone_number": "651-484-7725",
            "fax_number": "651-484-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 EAST LITTLE CANADA ROAD",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171332",
            "telephone_number": "651-484-7725",
            "fax_number": "651-484-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMANPOUR SOHI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D110055",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Riordan-Jaeschke, M.S. CCC-SLP
• Joy Rudenberg
• Amber Ruff
• Amy Runningen
• Dee Ryan, RPH
• Gretchen Kay Salzwedel, RN
• Nicole Schefers
• Courtney Schneider
• Kerry Schneider, RN
• Rebecca Avital Silberfarb

• General Practice Dentistry in Little Canada, MN
• Providers in Little Canada, 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.