Individual provider Active NPI

Omran Zarou, DMD

  • General Practice Dentistry
  • Brooklyn Park, MN
National Provider Identifier
1790394740
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14660 Issued in MN
Practice address
8500 Edinbrook Pkwy Ste D
Brooklyn Park, MN 55443-3735
Phone
(763) 424-3555
Fax
(763) 424-9605
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25800 FL
General Practice Dentistry 1223G0001X 111324 CA
General Practice Dentistry 1223G0001X D14660 MN Primary

Addresses

Primary practice location

8500 Edinbrook Pkwy Ste D
Brooklyn Park, MN 55443-3735

Mailing address

8500 Edinbrook Pkwy Ste D
Brooklyn Park, MN 55443-3735
Phone (763) 424-3555

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217002821 MN Practitioner - Dentist 3870987779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111324CAMDProfessional Counselor
DN25800FLMDDentist
D14660MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zarou Dental Care LLC General Practice CurrentSince Nov 15, 2021 Accepting new patients

Locations

8500 Edinbrook Pkwy
Ste D
Brooklyn Park, MN 55443
Phone (763) 221-0898

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1790394740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EDINBROOK PKWY STE D",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433735",
            "telephone_number": "763-424-3555",
            "fax_number": "763-424-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EDINBROOK PKWY STE D",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433735",
            "telephone_number": "763-424-3555",
            "fax_number": "763-424-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAROU",
        "first_name": "OMRAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25800",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111324",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

Verify at the official NPI Registry.