Active NPI
Asmita Poudel
- Dentist
- Saint Paul, MN
National Provider Identifier
1861180929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15210
- Practice address
- 1132 Larpenteur Ave W
Saint Paul, MN 55113-6317 - Phone
- (651) 504-8464
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D15210 | MN | Primary |
Addresses
Primary practice location
1132 Larpenteur Ave W
Saint Paul, MN 55113-6317
Mailing address
4525 43Rd Ave S
Minneapolis, MN 55406-4016
Phone (571) 213-2969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230721003372 | OR | Order and Referring Only - Dentist | 7618337692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D15210 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1861180929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 43RD AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554064016",
"telephone_number": "571-213-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 LARPENTEUR AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551136317",
"telephone_number": "651-504-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUDEL",
"first_name": "ASMITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.