Organization Active NPI

Rochester Math & Science Academy

  • School Counselor
  • Rochester, MN
National Provider Identifier
1518243963
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Legal business name
ROCHESTER MATH & SCIENCE ACADEMY
Practice address
415 16TH St SW
Rochester, MN 55902-2125
Phone
(507) 252-5995
Fax
(507) 252-8003
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Mr. Abdulkadir Dahir Abdalla
Title
Principal
Phone
(612) 600-0739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YS0200X Primary

Addresses

Primary practice location

415 16TH St SW
Rochester, MN 55902-2125

Mailing address

415 16TH St SW
Rochester, MN 55902-2125
Phone (507) 252-5995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1518243963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 16TH ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559022125",
            "telephone_number": "507-252-5995",
            "fax_number": "507-252-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 16TH ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559022125",
            "telephone_number": "507-252-5995",
            "fax_number": "507-252-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER MATH & SCIENCE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_middle_name": "DAHIR",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "612-600-0739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.