Thiago Dias Nascimento, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

S196 Issued in MN

Practice address

675 E Nicollet Blvd Ste 255
Burnsville, MN 55337-6768

Phone

(952) 892-6222

Fax

(952) 892-6477

NPI assigned

Feb 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DentistAlso: Pain Management

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Minnesota Head and Neck Pain Clinic PAGroup PAC ID 2769453687, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thiago.nascimento.1@13597.direct.athenahealth.com

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.

• Minnesota Head and Neck Pain Clinic, PA

  • Specialist
  • Saint Paul, MN
  • NPI 1104850155
  Medicare reassignment Care Compare group NPD
• Minnesota Head and Neck Pain Clinic, PA

  • Specialist
  • Burnsville, MN
  • NPI 1255715181
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1396443040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 PLYMOUTH BLVD STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471539",
            "telephone_number": "763-577-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E NICOLLET BLVD STE 255",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376768",
            "telephone_number": "952-892-6222",
            "fax_number": "952-892-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASCIMENTO",
        "first_name": "THIAGO",
        "middle_name": "DIAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "S196",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "MN",
            "license": "S196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah K Nagurski, L.P.
• Namaste Therapy and Wellness, LLC
• Lindsay Marie Narayan, LMFT
• Keith Richard Narr, LADC
• James Nasby, DDS MSD
• Navigator Fiduciary and Forensic Services Inc.
• Stacy Neal, DC
• Matthew Jon Nechrebecki, D.D.S.
• Asefa Shegitu Nega
• Azieta Nejati-Namin, FNP-C

• Orofacial Pain Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Orofacial Pain Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.