Organization Active NPI

Tareen Dermatology, PA

  • Non-Pharmacy Dispensing Site
  • Eagan, MN
National Provider Identifier
1710750047
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
TAREEN DERMATOLOGY, PA
Practice address
1185 Town Centre Dr Ste 101
Eagan, MN 55123-1188
Phone
(651) 633-6883
Fax
(651) 528-6276
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Dr. Mohiba K Tareen, MDNPI 1740448117
Title
Owner
Phone
(651) 633-6883

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1185 Town Centre Dr Ste 101
Eagan, MN 55123-1188

Mailing address

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone (651) 633-6883

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0995364Tareen Dermatology1185 Town Center Drive #101, Eagan, MN 55123Provider-performed microscopyJun 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tareen Dermatology PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1185 Town Centre Dr
Ste 101
Eagan, MN 55123
Phone (651) 209-3600

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1710750047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 FAIRVIEW AVE N STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131306",
            "telephone_number": "651-633-6883",
            "fax_number": "651-528-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231188",
            "telephone_number": "651-633-6883",
            "fax_number": "651-528-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREEN DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "TAREEN",
        "authorized_official_first_name": "MOHIBA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-633-6883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.