North Star Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NORTH STAR PEDIATRIC DENTISTRY

Practice address

9708 63Rd Ave N Ste 102
Maple Grove, MN 55369-6252

Phone

(202) 378-4707

NPI assigned

Oct 31, 2025

Last updated

Oct 31, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elias Kamal Abdi, DDSNPI 1912496993

Title

Owner/Pediatric Dentist

Phone

(202) 378-4707

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elias Kamal Abdi, DDS

  • Pediatric Dentistry
  • Frederick, MD
  • NPI 1912496993
  NPD Authorized official

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1902775786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 JACKSON ST NE APT 222",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 63RD AVE N STE 102",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696252",
            "telephone_number": "202-378-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "202-378-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Memorial Endoscopy Center at Maple Grove, LLC
• North Memorial Health Care (North Memorial Health Cancer)
• North Memorial Health Care (North Memorial Health Urgent Care)
• North Memorial Pharmacy Maple Grove (North Memorial Health Pharmacy - Maple Grove)
• North Star Eye Associates
• North Star Therapuetics LLC
• Northland Dental Partners, PLLC (Metro Dentalcare Maple Grove Bass Lake)
• Northland Dental Partners, PLLC (Metro Dentalcare Maple Grove Grove Circle)
• Elizabeth Michelle Northquest
• Northstar Neurological Clinic LTD

• Pediatric Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.