Active NPI
Huda Ibrahim, DDS
- Dentist
- Hopkins, MN
National Provider Identifier
1285251199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14656
- Practice address
- 11300 Wayzata Blvd Ste G
Hopkins, MN 55305-2019 - Phone
- (952) 314-1125
- NPI assigned
- Jun 26, 2020
- Last updated
- Oct 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D14656 | MN | Primary |
Addresses
Primary practice location
11300 Wayzata Blvd Ste G
Hopkins, MN 55305-2019
Mailing address
11300 Wayzata Blvd Ste G
Minnetonka, MN 55305-2019
Phone (952) 314-1125
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
| License | State | Type | Specialty |
|---|---|---|---|
| D14656 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633132800000",
"number": "1285251199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 WAYZATA BLVD STE G",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052019",
"telephone_number": "952-314-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 WAYZATA BLVD STE G",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553052019",
"telephone_number": "952-314-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "HUDA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2021-10-02",
"certification_date": "2021-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.