Active NPI
Dr Kessiena Aya LLC
- Orthopaedic Surgery Physician
- Minneapolis, MN
National Provider Identifier
1821821059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DR KESSIENA AYA LLC
- Practice address
- 95 S 10TH St Apt 1107TH
Minneapolis, MN 55403-2431 - Phone
- (320) 480-0001
- Fax
- (320) 525-1234
- NPI assigned
- Aug 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kessiena Aya, DO
- Title
- President
- Phone
- (813) 850-0050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
95 S 10TH St Apt 1107TH
Minneapolis, MN 55403-2431
Mailing address
1873 10TH Ave E Apt 218
Alexandria, MN 56308-2646
Phone (320) 480-0001
Other practice location 1
1873 10th Ave E Apt 218
Alexandria, MN 56308-2646
Phone (320) 480-0001
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Minneapolis, MN
- NPI 1588047096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1821821059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 10TH AVE E APT 218",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082646",
"telephone_number": "320-480-0001",
"fax_number": "320-525-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S 10TH ST APT 1107TH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032431",
"telephone_number": "320-480-0001",
"fax_number": "320-525-1234"
}
],
"practiceLocations": [
{
"address_1": "1873 10th Ave E Apt 218",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "MN",
"postal_code": "563082646",
"country_code": "US",
"telephone_number": "320-480-0001",
"fax_number": "320-525-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DR KESSIENA AYA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-22",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "AYA",
"authorized_official_first_name": "KESSIENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-850-0050",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.