Active NPI
Asha Ghassemlouei, DDS
- Dentist
- Mendota Heights, MN
National Provider Identifier
1548828536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14237
- Practice address
- 999 Delaware Ave
Mendota Heights, MN 55118-1022 - Phone
- (651) 675-6113
- NPI assigned
- Jun 4, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D14237 | MN | Primary |
Addresses
Primary practice location
999 Delaware Ave
Mendota Heights, MN 55118-1022
Mailing address
1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
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 |
|---|---|---|---|
| D14237 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1548828536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 DELAWARE AVE",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551181022",
"telephone_number": "651-675-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHASSEMLOUEI",
"first_name": "ASHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendota Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.