Aliasghar Mohebbi Abivardi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10819 Issued in MN

Practice address

8960 Springbrook Dr NW
Suite 150
Coon Rapids, MN 55433-5852

Phone

(763) 784-7570

NPI assigned

Sep 29, 2006

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1518059328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 SPRINGBROOK DR NW",
            "address_2": "SUITE 150",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335852",
            "telephone_number": "763-784-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 SPRINGBROOK DR NW",
            "address_2": "SUITE 150",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335852",
            "telephone_number": "763-784-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEBBI ABIVARDI",
        "first_name": "ALIASGHAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahmo M Mohamed
• Fatuma A Mohamed
• Idhil Mohamed
• Khalid Abdulmalik Mohamed
• Ramlah Mohamed
• William J Mohr, MD
• Iman Aly Mokhles, DDS
• Linda Mongare
• Monkweh LLC
• Stephen Paul Montry, LADC

• General Practice Dentistry in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.