NPIMap

Organization Active NPI

Dental Management Partners LLC

  • Orofacial Pain Dentistry
  • Blaine, MN
National Provider Identifier
1245973817
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
DENTAL MANAGEMENT PARTNERS LLC
Doing business as
Pro Dental
Practice address
10210 Baltimore St NE Ste 100
Blaine, MN 55449-6050
Phone
(763) 231-2050
Fax
(763) 231-2052
NPI assigned
Apr 20, 2022
Organization subpart
Yes
Parent organization
BLAINE DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Dr. Arif Nazir, BDSNPI 1184959454
Title
Owner
Phone
(763) 231-2050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X2210X Primary
Dental Clinic/Center 261QD0000X
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X

Addresses

Primary practice location

10210 Baltimore St NE Ste 100
Blaine, MN 55449-6050

Mailing address

10210 Baltimore St NE Ste 100
Blaine, MN 55449-6050
Phone (763) 231-2050

Other names 1

  • Pro Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL officemanager@prodentalmn.com Blaine Dental LLC dba Pro Dental

National Provider Directory

National Provider Directory
Part of
Blaine Dental LLC Dba Pro Dental

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1245973817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 BALTIMORE ST NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496050",
            "telephone_number": "763-231-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 BALTIMORE ST NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496050",
            "telephone_number": "763-231-2050",
            "fax_number": "763-231-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MANAGEMENT PARTNERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLAINE DENTAL LLC",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "NAZIR",
        "authorized_official_first_name": "ARIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-231-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "officemanager@prodentalmn.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Blaine Dental LLC dba Pro Dental",
            "address_1": "10210 Baltimore St NE Ste 100",
            "city": "Blaine",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554496050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pro Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pro Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.