Amirali Behdani

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14904 Issued in MN

Practice address

12027 Business Park Blvd N
Champlin, MN 55316-4526

Phone

(763) 421-7900

NPI assigned

Jun 7, 2023

Sex

Male

Sole proprietor

No

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.

• SLP Dental

  • Dental Clinic/Center
  • St Louis Park, MN
  • NPI 1417893017
  NPD Authorized official
• MSP Dentistry, Inc.

  • Preferred Provider Organization
  • Champlin, MN
  • NPI 1558719922
  NPD (past)
• Twin Cities Dental, PA

  • General Practice Dentistry
  • Champlin, MN
  • NPI 1376877316

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2023.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1649964016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 UTICA AVE S APT 421",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164596",
            "telephone_number": "980-349-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12027 BUSINESS PARK BLVD N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553164526",
            "telephone_number": "763-421-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHDANI",
        "first_name": "AMIRALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista S Bauer-Abrahamson, D.D.S.
• Beacon Therapy Associates, PC
• Bechard Chiropractic Inc
• Dean Bechard, DC
• Becoming You Therapy LLC
• Yohannes Bekelcho
• Kurt Allan Bender, DDS
• Shawna Marie Benson, PSY. D., LP
• Benttella Investments LLC
• Phillip William Berg, D.C.

• All providers in Champlin, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.