Active NPI
Mohammad Mujtaba Methani, BDS, MS
- Dentist
- Minneapolis, MN
National Provider Identifier
1922623834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38912
- Practice address
- 515 Delaware Street SE
Moos Health Science Tower
Minneapolis, MN 55455 - Phone
- (281) 846-9585
- NPI assigned
- Jun 16, 2020
- Last updated
- Apr 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | R760 | MN | |
| Dentist | 122300000X | 38912 | TX | Primary |
Addresses
Primary practice location
515 Delaware Street SE
Moos Health Science Tower
Minneapolis, MN 55455
Mailing address
747 Hampden Avenue
Apt. 508
Saint Paul, MN 55114
Phone (281) 846-9585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38912 | TX | MD | Dentist |
| R760 | MN | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1922623834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 HAMPDEN AVENUE",
"address_2": "APT. 508",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55114",
"telephone_number": "281-846-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DELAWARE STREET SE",
"address_2": "MOOS HEALTH SCIENCE TOWER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "281-846-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METHANI",
"first_name": "MOHAMMAD MUJTABA",
"name_prefix": "Dr.",
"credential": "BDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MN",
"license": "R760",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38912",
"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 Apr 21, 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.