NPIMap

Organization Active NPI

Iau Dental

  • Dental Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1407392186
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D13595 Issued in MN
Legal business name
IAU DENTAL
Practice address
7643 Jolly LN
Brooklyn Park, MN 55428-1221
Phone
(763) 439-9506
NPI assigned
Jan 18, 2017
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Boyee Barwu, D.D.SNPI 1942684782
Title
Ceo/ Dentist
Phone
(763) 439-9506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D13595 MN Primary

Addresses

Primary practice location

7643 Jolly LN
Brooklyn Park, MN 55428-1221

Mailing address

7643 Jolly LN
Brooklyn Park, MN 55428-1221

National Provider Directory

National Provider Directory

Locations

7643 Jolly Ln
Brooklyn Park, MN 55428
Phone (763) 439-9506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1407392186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 JOLLY LN",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 JOLLY LN",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281221",
            "telephone_number": "763-439-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAU DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "BARWU",
        "authorized_official_first_name": "BOYEE",
        "authorized_official_title_or_position": "CEO/ DENTIST",
        "authorized_official_telephone_number": "763-439-9506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D13595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.