Active NPI
Aristotle (Telly) A Pappas, DDS
- Dentist
- Saint Louis Park, MN
National Provider Identifier
1760562128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10192
- Practice address
- 7921 Minnetonka Blvd
Saint Louis Park, MN 55426-3017 - Phone
- (952) 915-9960
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10192 | MN | Primary |
Addresses
Primary practice location
7921 Minnetonka Blvd
Saint Louis Park, MN 55426-3017
Mailing address
7921 Minnetonka Blvd
Saint Louis Park, MN 55426-3017
Phone (952) 915-9960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 17, 2016 through May 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1760562128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7921 MINNETONKA BLVD",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554263017",
"telephone_number": "952-915-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7921 MINNETONKA BLVD",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554263017",
"telephone_number": "952-915-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPAS",
"first_name": "ARISTOTLE (TELLY)",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "10192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.