Active NPI
Dhanya Narasimhan, DDS
- Dentist
- Bloomington, MN
National Provider Identifier
1649829458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14305
- Practice address
- 8600 Nicollet Ave S
Bloomington, MN 55420-2824 - Phone
- (952) 541-2888
- NPI assigned
- Sep 5, 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 | D14305 | MN | Primary |
Addresses
Primary practice location
8600 Nicollet Ave S
Bloomington, MN 55420-2824
Mailing address
1233 Ray PL
Falcon Heights, MN 55108-1155
Phone (919) 525-8589
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 |
|---|---|---|---|---|
| I20210810000541 | MN | Practitioner - Dentist | 7113259185 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14305 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Dentist | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Champlin Dentistry, PC | Past | Accepting new patients |
Locations
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Arden Hills, MN
- NPI 1114072071
-
- General Practice Dentistry
- Champlin, MN
- NPI 1194198309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1649829458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 RAY PL",
"city": "FALCON HEIGHTS",
"state": "MN",
"postal_code": "551081155",
"telephone_number": "919-525-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 NICOLLET AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202824",
"telephone_number": "952-541-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARASIMHAN",
"first_name": "DHANYA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.