Mohammad Feizizad, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14812 Issued in MN

Practice address

11300 Wayzata Blvd Ste G
Hopkins, MN 55305-2019

Phone

(206) 631-0352

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1487382065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 PLYMOUTH RD APT 113",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052352",
            "telephone_number": "206-631-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 WAYZATA BLVD STE G",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553052019",
            "telephone_number": "206-631-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIZIZAD",
        "first_name": "MOHAMMAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Xavier Fikis, D.C
• Jill Fisher

• Dentist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.