Active NPI
Alec Christopher Grabinski, DDS
- Pediatric Dentistry
- Minneapolis, MN
National Provider Identifier
1619769684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- R899
- Practice address
- 701 25TH Ave S Ste 400
Minneapolis, MN 55454-1443 - Phone
- (612) 659-4900
- NPI assigned
- May 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | R899 | MN | |
| Pediatric Dentistry | 1223P0221X | R899 | MN | Primary |
Addresses
Primary practice location
701 25TH Ave S Ste 400
Minneapolis, MN 55454-1443
Mailing address
319 15TH Ave. SE
100 Donhowe Building
Minneapolis, MN 55455
Phone (800) 756-2363
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710002165 | MN | Order and Referring Only - Pediatric Dentistry | 4486168481 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R899 | MN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1619769684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 15TH AVE. SE",
"address_2": "100 DONHOWE BUILDING",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "800-756-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 25TH AVE S STE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541443",
"telephone_number": "612-659-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABINSKI",
"first_name": "ALEC",
"middle_name": "CHRISTOPHER",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-19",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "R899",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "R899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.