Mimi KN Hoang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11923 Issued in MN

Practice address

7300 147TH St W
Suite 103
Apple Valley, MN 55124-7541

Phone

(952) 432-1716

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elite Dental, LLC

  • General Practice Dentistry
  • Apple Valley, MN
  • NPI 1457452112
  NPD Authorized official
• Zane Dental, LLC

  • General Practice Dentistry
  • Brooklyn Park, MN
  • NPI 1205925500
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1295836872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7983 UPPER 145TH ST W",
            "address_2": "SUITE 103",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W",
            "address_2": "SUITE 103",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "952-432-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MIMI",
        "middle_name": "KN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Ashley Hillstrom, OTR/L
• Gary Allen Hirmer, MSW, LICSW
• Osman Mohamed Hirsi
• Heather Hislop-Anderson, LPCC
• Linh Hoang
• Jennifer Ellen Hoffman, MSW, LICSW
• Kelsey Marie Hogan
• Kayla Mae Holm, PA-C
• Shawn Holm
• Mel P Homan, OTR/L

• Dentist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.