Organization Active NPI

Minneapolis Dental Associates, PLLC

  • Dental Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1285902114
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D12019 Issued in MN
Legal business name
MINNEAPOLIS DENTAL ASSOCIATES, PLLC
Practice address
2221 University Ave SE
Suite 119
Minneapolis, MN 55414-3063
Phone
(612) 378-1909
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Sherif Said, BDS
Title
Owner
Phone
(612) 378-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D12019 MN Primary

Addresses

Primary practice location

2221 University Ave SE
Suite 119
Minneapolis, MN 55414-3063

Mailing address

2221 University Ave SE
Suite 119
Minneapolis, MN 55414-3063
Phone (612) 378-1909

National Provider Directory

National Provider Directory

Locations

2221 University Ave SE
Ste 119
Minneapolis, MN 55414
Phone (612) 378-1909

Practitioners & affiliated clinicians

Practitioners 1

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1285902114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 UNIVERSITY AVE SE",
            "address_2": "SUITE 119",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143063",
            "telephone_number": "612-378-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 UNIVERSITY AVE SE",
            "address_2": "SUITE 119",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143063",
            "telephone_number": "612-378-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-378-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.