Individual provider Active NPI

George Rizkalla

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1326038209
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12012 Issued in MN
Practice address
5401 Chicago Ave
Minneapolis, MN 55417-2443
Phone
(952) 929-0641
NPI assigned
Oct 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12012 MN Primary

Addresses

Primary practice location

5401 Chicago Ave
Minneapolis, MN 55417-2443

Mailing address

5100 Eden Ave
Edina, MN 55436-2337
Phone (952) 929-0641

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
D12012MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental Family and Cosmetic Dentistry LLC CurrentSince Jul 12, 2020 Accepting new patients
Family & Cosmetic Gentle Dentistry, LTD General Practice Past Accepting new patients

Locations

9413 36th Ave N
New Hope, MN 55427
Phone (763) 546-7707

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326038209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 EDEN AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362337",
            "telephone_number": "952-929-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172443",
            "telephone_number": "952-929-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZKALLA",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12012",
            "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 Jul 13, 2026; 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.