Active NPI
Patricia A Rake, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Minneapolis, MN
National Provider Identifier
1730255134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 11142
- Practice address
- 515 Delaware St SE
7-174 Moos Tower
Minneapolis, MN 55455-0357 - Phone
- (612) 624-8600
- NPI assigned
- Nov 28, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11142 | MN | Primary |
Addresses
Primary practice location
515 Delaware St SE
7-174 Moos Tower
Minneapolis, MN 55455-0357
Mailing address
515 Delaware St SE
Oral Surgery 7TH Floor Moos Tower
Minneapolis, MN 55455-0357
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Minnesota School of Dentistry, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2130 Cliff Rd
Suite 100
Eagan, MN 55122-2486
Phone (651) 452-6933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Minnesota | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Dakota Valley Oral and Maxillofacial Surgery, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Regents of the University of Minnesota | Current | Accepting new patients |
Locations
515 Delaware St SE
Ste 7-521
Minneapolis, MN 55455
2130 Cliff Rd
Ste 100
Saint Paul, MN 55122
Phone (651) 452-6933
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Saint Paul, MN
- NPI 1366568206
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1457448615
Oral and Maxillofacial Surgery
-
- Clinic Pharmacy
- Minneapolis, MN
- NPI 1528288875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1730255134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 DELAWARE ST SE",
"address_2": "ORAL SURGERY 7TH FLOOR MOOS TOWER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DELAWARE ST SE",
"address_2": "7-174 MOOS TOWER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550357",
"telephone_number": "612-624-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKE",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MN",
"license": "11142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.
- 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.