NPIMap

Organization Active NPI

Diamond Dental PLLC

  • Dentist
  • Minnetonka, MN
National Provider Identifier
1497018808
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12794 Issued in MN
Legal business name
DIAMOND DENTAL PLLC
Practice address
11050 Cedar Hills Blvd
101E
Minnetonka, MN 55305-3057
Phone
(612) 554-7278
NPI assigned
Jun 20, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Abdirahman Ugas Ahmed, DDS
Title
Owner
Phone
(612) 554-7278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12794 MN Primary

Addresses

Primary practice location

11050 Cedar Hills Blvd
101E
Minnetonka, MN 55305-3057

Mailing address

11050 Cedar Hills Blvd
101E
Minnetonka, MN 55305
Phone (612) 554-7278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1497018808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 CEDAR HILLS BLVD",
            "address_2": "101E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55305",
            "telephone_number": "612-554-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 CEDAR HILLS BLVD",
            "address_2": "101E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553053057",
            "telephone_number": "612-554-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "UGAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-554-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.