Anita Aminoshariae, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D11942 Issued in MN

Practice address

25 Lake St N
Ste 110
Forest Lake, MN 55025-2535

Phone

(651) 464-7388

Fax

(651) 982-6236

NPI assigned

Dec 20, 2006

Last updated

Jan 11, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1386708055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860036",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55486",
            "telephone_number": "651-343-9277",
            "fax_number": "651-343-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LAKE ST N",
            "address_2": "STE 110",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252535",
            "telephone_number": "651-464-7388",
            "fax_number": "651-982-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINOSHARIAE",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D11942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208304300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Ahlswede, MOTR
• Brittany Anne Akehurst, DC
• All Family Care Inc (All Family Care)
• Allina Health System (Allina Health Forest Lake Clinic)
• John Altnow
• Amy Goehner (Prosper Physical Therapy, LLC)
• Lori J. Anafarta, LMFT
• Amy Anderson, PHARMD
• Cassie Anderson, MA LPC
• David Michael Anderson, LMFT

• Endodontics in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.