Active NPI
Toan Dinh Quan, DDS
- Dentist
- Minneapolis, MN
National Provider Identifier
1770660573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10242
- Practice address
- 5909 Portland Ave S
Minneapolis, MN 55417 - Phone
- (612) 861-1679
- NPI assigned
- Nov 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10242 | MN | Primary |
| Dentist | 122300000X | 37482 | CA |
Addresses
Primary practice location
5909 Portland Ave S
Minneapolis, MN 55417
Mailing address
5909 Portland Ave S
Minneapolis, MN 55417
Phone (612) 861-1679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37482 | CA | MD | Dentist |
| D10242 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770660573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 PORTLAND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55417",
"telephone_number": "612-861-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 PORTLAND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55417",
"telephone_number": "612-861-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAN",
"first_name": "TOAN",
"middle_name": "DINH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D10242",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37482",
"primary": false
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.