Individual provider Active NPI

Levi Zarbano, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Paul, MN
National Provider Identifier
1225458391
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D13652 Issued in MN
Practice address
2550 University Ave W Ste 115N
Saint Paul, MN 55114-1097
Phone
(651) 645-6429
Fax
(651) 645-8326
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D13652 MN Primary

Addresses

Primary practice location

2550 University Ave W Ste 115N
Saint Paul, MN 55114-1097

Mailing address

2550 University Ave W Ste 115N
Saint Paul, MN 55114-1097
Phone (651) 645-6429

Other practice location 1

701 Park Ave
HCMC, Dentistry Clinic
Minneapolis, MN 55415-1623
Phone (712) 899-3047

Other practice location 2

515 Delaware St SE
Minneapolis, MN 55455-0357
Phone (612) 625-2495

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
I20210930003106 MN Practitioner - Oral Surgery 2264839448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Iowa College of Dentistry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2550 University Ave W
Suite 115N
Saint Paul, MN 55114-1097
Phone (651) 645-6429

750 Main St
Suite 203
Mendota Heights, MN 55118-3767
Phone (651) 451-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13652MNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Minnesota CurrentSince Oct 1, 2022 Accepting new patients
St Paul Oral Surgery and Dental Implants LLC Oral and Maxillofacial Surgery CurrentSince Nov 14, 2023 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Nov 1, 2021 Accepting new patients
St Paul Oral Surgery and Dental Implants LLC Oral and Maxillofacial Surgery CurrentSince Nov 14, 2023 Accepting new patients
Regents of the University of Minnesota Current Accepting new patients
Hennepin Healthcare System Inc CurrentSince Nov 1, 2021 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Regents of the University of Minnesota Oral and Maxillofacial Surgery CurrentSince Oct 1, 2022 Accepting new patients
St. Paul Oral Surgery, P.a. Oral and Maxillofacial Surgery PastSince Aug 30, 2020 Accepting new patients

Locations

515 Delaware St SE
Ste 7-521
Minneapolis, MN 55455

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

2550 University Ave W
Ste 115N
Saint Paul, MN 55114
Phone (651) 645-6429

750 Main St
Ste 203
Saint Paul, MN 55118
Phone (651) 451-1873

Organizations & group practices 9

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1225458391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 115N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141097",
            "telephone_number": "651-645-6429",
            "fax_number": "651-645-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 115N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141097",
            "telephone_number": "651-645-6429",
            "fax_number": "651-645-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_2": "HCMC, Dentistry Clinic",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "712-899-3047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Delaware St SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550357",
            "country_code": "US",
            "telephone_number": "612-625-2495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARBANO",
        "first_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D13652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.