Evgeny Bashirov, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14242 Issued in MN

Practice address

4201 Minnehaha Ave
Minneapolis, MN 55406-3303

Phone

(612) 721-2833

NPI assigned

Jul 3, 2019

Reactivated

Dec 9, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Honeycomb Dentistry

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1255098323
  NPD Authorized official
• Bruce F Filson DDS PA

  • General Practice Dentistry
  • Bayport, MN
  • NPI 1225107998
  NPD (past)
• Nathan J. Jensen, DMD, PLLC

  • Dentist
  • Bayport, MN
  • NPI 1467112037
  NPD (past)
• Schulhof Honeycomb PLLC

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1972437838
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1821650482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063303",
            "telephone_number": "612-721-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063303",
            "telephone_number": "612-721-2833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 3rd St N",
            "address_purpose": "LOCATION",
            "city": "Bayport",
            "state": "MN",
            "postal_code": "550031028",
            "country_code": "US",
            "telephone_number": "651-439-2352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIROV",
        "first_name": "EVGENY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "deactivation_date": "2021-11-22",
        "reactivation_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadumo Abddullahi Bashir
• Hodon Bashir
• Libin Burhan Bashir
• Sabirin Hassan Bashir
• Sirat Bashir
• David L Basi, DMD PHD
• Basic Needs
• Patrick Michael Basile, M.D.
• Dashauna Bass
• Deanna Bass, M.D.

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.