Mariyam Karrar, BDS, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14648 Issued in MN

Practice address

7501 80TH St S Ste 110
Cottage Grove, MN 55016-3063

Phone

(651) 459-7888

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maryam Hasanali Bohra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McFarland PLLC

  • General Practice Dentistry
  • Hudson, WI
  • NPI 1447193297
  NPD (past)

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1568136646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163063",
            "telephone_number": "651-459-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163063",
            "telephone_number": "651-459-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRAR",
        "first_name": "MARIYAM",
        "name_prefix": "Dr.",
        "credential": "BDS, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14648",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "BOHRA",
            "middle_name": "HASANALI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Lynn Jordan, MA, LADC
• Shawn Seok-Hun Jung
• Jennifer Elizabeth Kaiser, M.D.
• Joseph R.F. Kalugdan, MD
• Aaron Joshua Kamara, ADN, RN, LPN
• David Gene Kelley, DDS
• James A Kerr, DDS
• Kiekhoefer Chiropractic LLC
• Gary Allen Kiekhoefer, DC
• Kindcare Living LLC

• General Practice Dentistry in Cottage Grove, MN
• Providers in Cottage Grove, 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 3, 2021; 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.