Active NPI
Muna R Abudayyeh, DMD
- General Practice Dentistry
- Rochester, MN
National Provider Identifier
1407979826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21724
- Practice address
- 1801 Greenview Dr SW
Rochester, MN 55902-1184 - Phone
- (507) 281-3659
- NPI assigned
- Apr 9, 2007
- Last updated
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21724 | MA | Primary |
Addresses
Primary practice location
1801 Greenview Dr SW
Rochester, MN 55902-1184
Mailing address
413 Eagle LN SW
Rochester, MN 55902-4137
Phone (781) 223-5346
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 |
|---|---|---|---|
| 21724 | MA | MD | General Practice Dentistry |
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": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1407979826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 EAGLE LN SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559024137",
"telephone_number": "781-223-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 GREENVIEW DR SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559021184",
"telephone_number": "507-281-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUDAYYEH",
"first_name": "MUNA",
"middle_name": "R",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.