Individual provider Active NPI

Saad Mahmood Shaikh, MDT, BSDH

  • Dental Therapist
  • Edina, MN
National Provider Identifier
1376430561
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental TherapistTaxonomy code 125J00000X
License
DT184 Issued in MN
Practice address
5107 Gus Young LN
Edina, MN 55436-1530
Phone
(952) 929-0641
NPI assigned
Jun 20, 2025
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Therapist 125J00000X DT184 MN Primary
Dental Hygienist 124Q00000X H11911 MN

Addresses

Primary practice location

5107 Gus Young LN
Edina, MN 55436-1530

Mailing address

19221 Huxley Ave
Lakeville, MN 55044-3603
Phone (952) 465-4508

Other practice location 1

1340 Duckwood Dr
Eagan, MN 55123-2324
Phone (651) 209-9999

Other practice location 2

10611 France Ave S Ste 201
Bloomington, MN 55431-3554
Phone (952) 881-8404

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
H11911MNMDDental Hygienist
DT184MNMDDental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Cosmetic Gentle Dentistry Past Accepting new patients

Organizations & group practices 1

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1376430561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 HUXLEY AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443603",
            "telephone_number": "952-465-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 GUS YOUNG LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361530",
            "telephone_number": "952-929-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Duckwood Dr",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551232324",
            "country_code": "US",
            "telephone_number": "651-209-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10611 France Ave S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554313554",
            "country_code": "US",
            "telephone_number": "952-881-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "SAAD",
        "middle_name": "MAHMOOD",
        "name_prefix": "Mr.",
        "credential": "MDT, BSDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT184",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H11911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.