Individual provider Active NPI

Kadar Hadis

  • Social Worker
  • Bloomington, MN
National Provider Identifier
1972961001
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
8200 Humboldt Ave S Ste 217
Bloomington, MN 55431
Phone
(952) 992-0354
NPI assigned
Feb 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 86708300035 MN
Social Worker 104100000X Primary

Addresses

Primary practice location

8200 Humboldt Ave S Ste 217
Bloomington, MN 55431

Mailing address

8200 Humboldt Ave S Ste 217
Bloomington, MN 55431-1432
Phone (952) 992-0354

Other practice location 1

12105 41st Ave N Apt 205
Plymouth, MN 55441-1226
Phone (952) 992-0354

Other practice location 2

12105 41st Ave N Apt 205
Plymouth, MN 55441-1226
Phone (952) 992-0354

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

LicenseStateTypeSpecialty
86708300035MNMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1972961001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S STE 217",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311432",
            "telephone_number": "952-992-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S STE 217",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "952-992-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12105 41st Ave N Apt 205",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554411226",
            "country_code": "US",
            "telephone_number": "952-992-0354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12105 41st Ave N Apt 205",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554411226",
            "country_code": "US",
            "telephone_number": "952-992-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADIS",
        "first_name": "KADAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "86708300035",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.