Individual provider Active NPI

Aaron Tsay

  • Dentist
  • Spring Park, MN
National Provider Identifier
1629451000
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13578 Issued in MN
Practice address
4100 Shoreline Dr
Suite 4
Spring Park, MN 55384-4508
Phone
(952) 224-9774
NPI assigned
Jul 3, 2015
Last updated
Jul 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13578 MN Primary

Addresses

Primary practice location

4100 Shoreline Dr
Suite 4
Spring Park, MN 55384-4508

Mailing address

10680 Hampshire Ave S
Apt 205
Bloomington, MN 55438-2638
Phone (734) 546-7708

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1629451000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 HAMPSHIRE AVE S",
            "address_2": "APT 205",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382638",
            "telephone_number": "734-546-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SHORELINE DR",
            "address_2": "SUITE 4",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553844508",
            "telephone_number": "952-224-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAY",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.