Active NPI
Amin Syed Uddin, DDS
- Dentist
- St Croix Falls, WI
National Provider Identifier
1932273752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5596
- Practice address
- 110 N Washington
St Croix Falls, WI 54024 - Phone
- (715) 483-5026
- Fax
- (715) 483-5027
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- 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 | 5596 | WI | Primary |
Addresses
Primary practice location
110 N Washington
St Croix Falls, WI 54024
Mailing address
PO Box 704
St Croix Falls, WI 54024
Phone (715) 483-5026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5596 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Croix Family Dentistry, SC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Saint Croix Falls, WI
- NPI 1770131401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932273752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 704",
"city": "ST CROIX FALLS",
"state": "WI",
"postal_code": "54024",
"telephone_number": "715-483-5026",
"fax_number": "715-483-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N WASHINGTON",
"city": "ST CROIX FALLS",
"state": "WI",
"postal_code": "54024",
"telephone_number": "715-483-5026",
"fax_number": "715-483-5027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDDIN",
"first_name": "AMIN",
"middle_name": "SYED",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Croix Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.