Active NPI
Lakesha Bellanti, RDH
- Dental Hygienist
- Minneapolis, MN
National Provider Identifier
1790014892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7309
- Practice address
- 636 Broadway St NE
Minneapolis, MN 55413-2164 - Phone
- (612) 746-1531
- NPI assigned
- Dec 18, 2009
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H7309 | MN | Primary |
Addresses
Primary practice location
636 Broadway St NE
Minneapolis, MN 55413-2164
Mailing address
13908 9TH Ave S
Zimmerman, MN 55398-4592
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 |
|---|---|---|---|
| H7309 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1790014892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13908 9TH AVE S",
"city": "ZIMMERMAN",
"state": "MN",
"postal_code": "553984592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 BROADWAY ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132164",
"telephone_number": "612-746-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLANTI",
"first_name": "LAKESHA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-18",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H7309",
"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 Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.