Wafa A Qureshi, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11598 Issued in MN

Practice address

400 2ND St S Ste 250
Hudson, WI 54016-1599

Phone

(715) 808-0460

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• Group Health, Inc.

  dba HealthPartners West Dental Clinic

  • General Practice Dentistry
  • St Louis Park, MN
  • NPI 1053466128
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD
• Blaine Kidds Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Blaine, MN
  • NPI 1538678057
  NPD (past)
• St. Croix Kidds Pediatric Dentistry

  • Pediatric Dentistry
  • White Bear Lake, MN
  • NPI 1407131618
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1710098553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 2ND ST S STE 250",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161599",
            "telephone_number": "715-808-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND ST S STE 250",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161599",
            "telephone_number": "715-808-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "WAFA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D11598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569198200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Promed Preferred Wi SC
• Katherine M Prozeller, PSYD, MA, MBA
• Lisa Pulkrabek Juettner, RN
• James David Purdy, D.D.S.
• Kimberly Marie Quayle, OTR
• Elizabeth Joanne Radford, CNM
• Alexa Anastasia Raehsler
• Rainbow Tree Connections
• Rainbow Tree Therapies, LLC
• Randi L. Erickson (Croix Counseling & Psychology)

• Pediatric Dentistry in Hudson, WI
• Providers in Hudson, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.