Individual provider Active NPI

Nawaf Aslam-Pervez, M.D., D.D.S

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rochester, MN
National Provider Identifier
1982046892
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
0438000437 Issued in VA
Practice address
200 1St St SW
Rochester, MN 55905-1544
Phone
(507) 284-2511
NPI assigned
Jul 19, 2013
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401415968 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X S131 MN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X S131 MN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 0438000437 VA Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-1544

Mailing address

200 1St Street SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

22 S Greene St
University of Maryland Medical Center
Baltimore, MD 21201-1544
Phone (410) 328-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721000178 MN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3476823600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0401415968VAMDDentist
0438000437VAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery CurrentSince Apr 1, 2019 Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery CurrentSince Apr 1, 2019 Accepting new patients

Locations

7770 Dell Rd
Ste 100
Chanhassen, MN 55317
Phone (952) 975-0605

7373 France Ave S
Ste 602
Edina, MN 55435
Phone (612) 835-5003

6350 W 143rd St
Ste 206
Savage, MN 55378
Phone (952) 435-4150

250 Central Ave N
Ste 126
Wayzata, MN 55391
Phone (952) 475-2266

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1982046892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST STREET SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559051544",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "University of Maryland Medical Center",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASLAM-PERVEZ",
        "first_name": "NAWAF",
        "credential": "M.D., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415968",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "S131",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "S131",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.