Individual provider Active NPI

Simone K. Ahuja, DDS

  • Dentist
  • Eagan, MN
National Provider Identifier
1275694606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11053 Issued in MN
Practice address
3938 Cedar Grove Pkwy
Eagan, MN 55122-1403
Phone
(651) 452-9660
Fax
(651) 406-5941
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11053 MN Primary

Addresses

Primary practice location

3938 Cedar Grove Pkwy
Eagan, MN 55122-1403

Mailing address

3938 Cedar Grove Pkwy
Eagan, MN 55122-1403
Phone (651) 452-9660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11053MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apelgren Dental Dentist Past Accepting new patients
Quinn Dental P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275694606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 CEDAR GROVE PKWY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221403",
            "telephone_number": "651-452-9660",
            "fax_number": "651-406-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 CEDAR GROVE PKWY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221403",
            "telephone_number": "651-452-9660",
            "fax_number": "651-406-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "SIMONE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • 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.