Organization Active NPI

Zarou Dental Care LLC

  • General Practice Dentistry
  • Brooklyn Park, MN
National Provider Identifier
1801552138
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZAROU DENTAL CARE LLC
Practice address
8500 Edinbrook Pkwy Ste D
Brooklyn Park, MN 55443-3735
Phone
(763) 221-0898
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Dr. Omran Zarou, DMDNPI 1790394740
Title
President/Dentist
Phone
(763) 221-0898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 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) 221-0898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220217002803 MN Part B Supplier - Clinic/Group Practice 2961896865 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn Park, MN

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1801552138",
    "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": "763-221-0898"
        },
        {
            "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": "763-221-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAROU DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "ZAROU",
        "authorized_official_first_name": "OMRAN",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "763-221-0898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.