Individual provider Active NPI

Tudor I. Stiharu, DMD, FRCD(C)

  • Oral and Maxillofacial Surgery (Dentist)
  • Burnsville, MN
National Provider Identifier
1265728299
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D13624 Issued in MN
Practice address
14344 Burnhaven Dr
Burnsville, MN 55306-4928
Phone
(612) 638-1238
Fax
(952) 898-4109
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 D13624 MN Primary

Addresses

Primary practice location

14344 Burnhaven Dr
Burnsville, MN 55306-4928

Mailing address

14344 Burnhaven Dr
Burnsville, MN 55306-4928
Phone (612) 638-1238

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
I20170627001630 MN Practitioner - Oral Surgery 8224307772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Minnesota Current Accepting new patients

Locations

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

Organizations & group practices 1

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1265728299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14344 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064928",
            "telephone_number": "612-638-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064928",
            "telephone_number": "612-638-1238",
            "fax_number": "952-898-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIHARU",
        "first_name": "TUDOR",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "DMD, FRCD(C)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D13624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.