Active NPI
Hidayo Elmi, DDS
- General Practice Dentistry
- West St Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D14029
- Practice address
- 1200 Robert St S Ste C
West St Paul, MN 55118-2322 - Phone
- (952) 564-0339
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 | D14029 | MN | Primary |
Addresses
Primary practice location
1200 Robert St S Ste C
West St Paul, MN 55118-2322
Mailing address
1200 Robert St S Ste C
West St Paul, MN 55118-2322
Phone (952) 564-0339
Other practice location 1
606 24th Ave S Ste 200
Minneapolis, MN 55454
Phone (612) 659-8689
Other practice location 2
8454 Highway 7
St Louis Park, MN 55426-3900
Phone (952) 933-3667
Other practice location 3
1700 Highway 36 W Ste 860
Roseville, MN 55113
Phone (651) 778-9911
Other practice location 4
675 E Nicollet Blvd Ste 120
Burnsville, MN 55337-6748
Phone (612) 843-2951
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 |
|---|---|---|---|
| D14029 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Home Health LLC | Current | Accepting new patients | |
| All About Dentistry | General Practice | Current | Accepting new patients |
| Knollwood Dentistry, PC | General Practice | Past | Accepting new patients |
Locations
675 E Nicollet Blvd
Ste 120
Burnsville, MN 55337
Phone (612) 843-2951
1200 Robert St S
Ste C
West St Paul, MN 55118
Phone (651) 340-9151
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1841803723
-
- Home Health Agency
- Minneapolis, MN
- NPI 1407600885
-
- General Practice Dentistry
- St. Louis Park, MN
- NPI 1497149496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1497258982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 ROBERT ST S STE C",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551182322",
"telephone_number": "952-564-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ROBERT ST S STE C",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551182322",
"telephone_number": "952-564-0339"
}
],
"practiceLocations": [
{
"address_1": "606 24th Ave S Ste 200",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55454",
"country_code": "US",
"telephone_number": "612-659-8689",
"fax_number": "612-659-8690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8454 Highway 7",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554263900",
"country_code": "US",
"telephone_number": "952-933-3667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Highway 36 W Ste 860",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "55113",
"country_code": "US",
"telephone_number": "651-778-9911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "675 E Nicollet Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553376748",
"country_code": "US",
"telephone_number": "612-843-2951",
"fax_number": "612-843-2889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELMI",
"first_name": "HIDAYO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D14029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West St Paul, MN
- Heidi Jean Diekmann, DDS
- Dignified Living Health Services LLC
- Divine Redeemer Mobile Meals
- Ross Ducept, REGISTERED PHARMACIS
- Elmi Abdulkadir Elmi
- Adam Reed Elwood, MS, LPCC, LMHC
- Evernear Care Corp.
- Raymond John Fabian Jr., PTA
- Family Healthservices Minnesota, P.a.
- Family Healthservices Minnesota, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.