Osama Qureshi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14092 Issued in MN

Practice address

1963 Robert St S # 100
West St Paul, MN 55118-3942

Phone

(651) 724-9689

NPI assigned

Aug 21, 2018

Sex

Male

Sole proprietor

Yes

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1528548351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 4TH ST SE APT 421",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144453",
            "telephone_number": "519-992-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 ROBERT ST S # 100",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183942",
            "telephone_number": "651-724-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Placzek, M.D.
• Natalie E Polak, MS
• Joshua Ponce
• Teresa Ann Puff, MSW, LICSW
• John O Punderson, MD
• Radiant Isight LLC
• Daniella Marie Rafnson, MSW, LICSW
• Mary Janine Rajkowski, RN BSN NATIONALLY CE
• Brian Redemske, PT, DPT
• Tara Jolynn Reopelle, MSW, LICSW

• General Practice Dentistry in West St Paul, MN
• Providers in West St Paul, 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 Aug 21, 2018; 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.