Organization Active NPI

Dawn Therapy Inc

  • Early Intervention Provider Agency
  • St Anthony, MN
National Provider Identifier
1437758042
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DAWN THERAPY INC
Practice address
2817 Anthony LN S Ste 106
St Anthony, MN 55418-2489
Phone
(612) 532-6627
Fax
(612) 886-2618
NPI assigned
Oct 23, 2020
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Mr. Abdullahi Siyad Sr.
Title
Owner
Phone
(612) 532-6627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

2817 Anthony LN S Ste 106
St Anthony, MN 55418-2489

Mailing address

2817 Anthony LN S Ste 106
St Anthony, MN 55418-2489
Phone (612) 532-6627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1437758042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ANTHONY LN S STE 106",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182489",
            "telephone_number": "612-532-6627",
            "fax_number": "612-886-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ANTHONY LN S STE 106",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182489",
            "telephone_number": "612-532-6627",
            "fax_number": "612-886-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "SIYAD",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-532-6627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.