David Robert Maki

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13590 Issued in MN

Practice address

1790 7TH St E
Saint Paul, MN 55119-3419

Phone

(651) 735-0595

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1780794115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551193419",
            "telephone_number": "651-735-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551193419",
            "telephone_number": "651-735-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Louise Makhloufi, RN
• Muna A Makhtal
• Allison Maki
• Amanda Maki, MS, LPCC
• Brigid Maire Maki, PT
• Jennifer Marie Maki, B.S.N.
• Sara Saini Maki, PHARMD, BCACP
• Making Sense Together Counseling
• Asif Karimbhai Maknojia, MD
• Katsiaryna Maksimava, LPCC

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.