REGENTS OF THE UNIVERSITY OF MINNESOTA (NPI# 1447429402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447429402 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| Other Organization Name | ORAL SURGERY CLINIC |
| Practice Address |
515 Delaware St Se 7th Floor Moos Tower Minneapolis MN 55455-0357 |
| Practice Telephone | 6126266529 |
| Mailing Telephone | 6126266529 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | DR. GARY CARL ANDERSON (DEAN, UOFMN SCHOOL OF DENTISTRY) |
| Authorized Official Telephone | 6126266529 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oral Surgery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528515194 | Regents of The University of Minnesota | Clinic/Center | 814 S 3rd Street, Minneapolis, MN 55415 | 2016-09-01 |
| 1316223159 | Regents of The University of Minnesota | Military Hospital | 75 E River Rd, Elliott Hall, Rm# 416, Minneapolis, MN 55455-0366 | 2011-10-25 |
| 1538389887 | Regents of The University of Minnesota | Psychoanalyst | 410 Church Street Se, Minneapolis, MN 55455-0346 | 2007-04-27 |
| 1952712366 | Regents of The University of Minnesota | Dentist | 515 Delaware St Se, 7-530 Moos Tower, Minneapolis, MN 55455-0369 | 2014-05-20 |
| 1164763629 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2013-03-08 |
| 1982907366 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2010-12-07 |
| 1962657932 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 6-322 Moos Tower, Minneapolis, MN 55455-0357 | 2008-11-18 |
| 1043472319 | Regents of The University of Minnesota | Specialist | 420 Delaware St Se, Mmc 501 Mayo, Minneapolis, MN 55455-0341 | 2008-06-27 |
| 1538338595 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2008-02-25 |
| 1790954766 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 6th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2008-02-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF MINNESOTA | 106 Pleasant St Se Ste 210, Minneapolis, MN 55455-0433 |
| Street Address |
515 DELAWARE ST SE 7TH FLOOR MOOS TOWER |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898626 | David L Basi | Oral & Maxillofacial Surgery | 515 Delaware St Se, 7-174 Moos Tower, Minneapolis, MN 55455 | 2006-02-07 |
| 1598383879 | Zoe Alexandra Larson | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2020-07-13 |
| 1770101073 | Timothy Bitner | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2020-07-13 |
| 1568080349 | Zachary Michael Slama | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2020-07-08 |
| 1164045738 | Mark Thomas Ash | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2020-05-18 |
| 1275188823 | Anas M Al-taee | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2019-08-09 |
| 1831743160 | John Albert Sharp | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2019-07-25 |
| 1669025599 | Elenice Michelle Lopez Deynes | Dentist | 515 Delaware St Se, Malcolm Moos Health Sciences Tower Room 7-174, Minneapolis, MN 55455-0357 | 2019-07-19 |
| 1578115820 | Valmore Malskis | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2019-07-16 |
| 1912559386 | Daniela Carolina Llaque Daboin | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763629 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2013-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699901140 | Northern Star Oral and Maxillofacial Surgery Pllc | Clinic/Center | 5100 Gamble Dr, Suite 125, St Louis Park, MN 55416-1585 | 2009-06-10 |
| 1427237551 | Midtling Oral & Maxillofacial Surgery, Pa | Clinic/Center | 155 Wabasha St S, Suite 111, Saint Paul, MN 55107-1801 | 2007-10-25 |
| 1770776312 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 3632 10th Ln Nw, Rochester, MN 55901-7032 | 2007-08-27 |
| 1902099559 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 2835 S Service Dr, Red Wing, MN 55066-1882 | 2007-08-27 |
| 1104019744 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 605 W Oakland Ave, Austin, MN 55912-2317 | 2007-08-27 |
| 1144413782 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 304 Belle Ave, Mankato, MN 56001-5250 | 2007-08-27 |
| 1821299041 | Twin Cities Oral & Maxillofacial Surgery Pa | Clinic/Center | 14635 Pennock Ave, #250, Apple Valley, MN 55124-6430 | 2007-05-29 |
| 1356542575 | Twin Cities Oral & Maxillofacial Surgery, Pa | Clinic/Center | 1655 Beam Ave, Ste 208, Maplewood, MN 55109-1163 | 2007-05-29 |
| 1154522373 | Twin Cities Oral & Maxillofaical Surgery Pa | Clinic/Center | 1790 Lexington Ave N, Roseville, MN 55113-6167 | 2007-05-29 |
| 1659492312 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 605 Hillcrest Ave Ste 130, Owatonna, MN 55060-3680 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF MINNESOTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.