Abdollah Rahimi

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

D10465 Issued in MN

Practice address

15600 36TH Ave N
Suite 100
Plymouth, MN 55446-3369

Phone

(763) 559-7688

Fax

(763) 559-2237

NPI assigned

Sep 12, 2005

Reactivated

Apr 5, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 12, 2013 through Dec 12, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minnesota Maxillofacial and Oral Consultants

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MN
  • NPI 1417034661
  NPD (past) Authorized official
• Minnesota Oral and Maxillofacial Surgeons

  • Dentist
  • Saint Cloud, MN
  • NPI 1154519338
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801881370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463369",
            "telephone_number": "763-559-7688",
            "fax_number": "763-559-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463369",
            "telephone_number": "763-559-7688",
            "fax_number": "763-559-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "ABDOLLAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MN",
            "license": "D10465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52D14RA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "86-24115",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01006428",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. L. Rane PH.D Audiology, PLLC (dba Sonus Hearing Care Professionals)
• Jason P Raasch, MD
• Jill Suzanne Rabinovitz, PSYD
• Nivein Rady
• Daniel Gunderson Raether, DDS MS
• Rainbow Therapy Center PLLC
• Rajo Care Home Inc
• Anna G. Rakovshik, MD
• Subhashri Ram
• Paul L Ramnarine, PT

• Oral and Maxillofacial Pathology Dentistry in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Oral and Maxillofacial Pathology Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.