Organization Active NPI

The Dental Emergency Room, LLC

  • Dental Clinic/Center
  • Edina, MN
National Provider Identifier
1710215843
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THE DENTAL EMERGENCY ROOM, LLC
Practice address
6545 France Ave S Ste 681
Edina, MN 55435-2127
Phone
(612) 800-8008
Fax
(612) 353-4246
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Bashar AlkabbaniNPI 1790967958
Title
Ceo
Phone
(612) 800-8008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6545 France Ave S Ste 681
Edina, MN 55435-2127

Mailing address

6545 France Ave S Ste 681
Edina, MN 55435-2127
Phone (612) 800-8008

Other practice location 1

707 E Lake St
Minneapolis, MN 55407-1515
Phone (612) 354-3015

National Provider Directory

National Provider Directory

Locations

6545 France Ave S
Ste 681
Edina, MN 55435
Phone (612) 800-8008

707 E Lake St
Minneapolis, MN 55407
Phone (612) 354-3015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1710215843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE 681",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352127",
            "telephone_number": "612-800-8008",
            "fax_number": "612-353-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE 681",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352127",
            "telephone_number": "612-800-8008",
            "fax_number": "612-353-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Lake St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071515",
            "country_code": "US",
            "telephone_number": "612-354-3015",
            "fax_number": "612-353-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE DENTAL EMERGENCY ROOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "ALKABBANI",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-800-8008"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.