Maxim S Barsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G12236 Issued in MN

Practice address

7950 Main St. Suite 205
Maple Grove, MN 55369

Phone

(763) 561-2273

Fax

(763) 561-5761

NPI assigned

Oct 23, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Brook West Family Dentistry PA

  • Dentist
  • Maple Grove, MN
  • NPI 1497827869
  NPD (past)
• Minnesota Anesthesia Specialty Services

  • Specialist
  • Edina, MN
  • NPI 1871558734
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1801979190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 MAIN ST. SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "952-836-1113",
            "fax_number": "952-836-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MAIN ST. SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "763-561-2273",
            "fax_number": "763-561-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSKY",
        "first_name": "MAXIM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "G12236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA",
            "identifier": "742317900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lillian Barger
• Kyle R Barker, MD
• Rachael Barker, O.D.
• Tara Barrack, PA-C
• Monika Barrett
• Sara A. Barsness, DDS
• Jane Elizabeth Barthell, M.D.
• Joseph W Bartoletti
• Bass Lake Family Eye Care Inc.
• Lisa Yvonne Batchelor, M.D.

• All providers in Maple Grove, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.