Active NPI
Yasmin Omer, DDS
- Dentist
- Robbinsdale, MN
National Provider Identifier
1366004285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14236
- Practice address
- 4080 W Broadway Ave Ste 300
Robbinsdale, MN 55422-5607 - Phone
- (443) 759-0910
- NPI assigned
- Jul 1, 2019
- 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 | D14236 | MN | Primary |
Addresses
Primary practice location
4080 W Broadway Ave Ste 300
Robbinsdale, MN 55422-5607
Mailing address
1168 Fifield Ave Apt 4
Saint Paul, MN 55108-1170
Phone (507) 369-8214
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 |
|---|---|---|---|
| D14236 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1366004285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1168 FIFIELD AVE APT 4",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081170",
"telephone_number": "507-369-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 W BROADWAY AVE STE 300",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554225607",
"telephone_number": "443-759-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMER",
"first_name": "YASMIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.