ACTION DENTAL (NPI# 1497218184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497218184 |
Entity Type | Organization |
Organization Name | ACTION DENTAL |
Practice Address |
10584 France Ave S Bloomington MN 55431-3538 |
Mailing Address |
3701 W Old Shakopee Rd Bloomington MN 55431-3555 |
Practice Telephone | 9523056189 |
Mailing Telephone | 6124586830 |
Mailing Fax Number | 6514317462 |
Enumeration Date | 2019-04-09 |
Last Update Date | 2019-04-09 |
Authorized Official Name | AYAN ABUKAR (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6124586830 |
Is Organization Subpart | Y |
Parent Organization Name | ACTION FOR EAST AFRICAN PEOPLE AFEAP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
10584 FRANCE AVE S |
City | BLOOMINGTON |
State | MN |
Zip Code | 55431-3538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
1992336291 | Brooke Marie Gall | Physician Assistant | 10584 France Ave S, Bloomington, MN 55431-3538 | 2020-01-27 |
1366006975 | Action for East African People Afeap | Pharmacy | 10584 France Ave S, Bloomington, MN 55431-3538 | 2019-04-29 |
1578028288 | Actioncare Community Clinic Inc | Clinic/Center | 10584 France Ave S, Bloomington, MN 55431-3538 | 2019-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
Find all providers in zip 55431 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073904470 | Nick Weiss Dds LLC | Clinic/Center | 2801 E Carowinds Ct, Bloomington, IN 47401-9716 | 2015-02-07 |
1114050432 | Mitchell Olson, Dds Pa | Clinic/Center | 8400 Lyndale Ave S Ste 8, Bloomington, MN 55420-2790 | 2007-03-14 |
1063011666 | David A. Engan, Dds | Clinic/Center | 9848 Lyndale Ave S, Bloomington, MN 55420-4731 | 2020-10-23 |
1154971380 | Gentle Dentistry of Bloomington Pllc | Clinic/Center | 10611 France Ave S Ste 201, Bloomington, MN 55431-3554 | 2019-09-19 |
1962059907 | Finney Dental LLC | Clinic/Center | 2909 E Buick Cadillac Blvd, Bloomington, IN 47401-5443 | 2019-08-23 |
1013402981 | Morgan-michaels Family Dentistry, LLC | Clinic/Center | 2306 Stern Dr, Bloomington, IL 61704 | 2018-06-24 |
1780187674 | Martin T Barco, D.d.s., P.C. | Clinic/Center | 615 N Walnut St, Bloomington, IN 47404-3811 | 2018-03-16 |
1396267423 | H&b II LLC | Clinic/Center | 409 S Dunn St, Bloomington, IN 47401-4822 | 2017-07-11 |
1124478607 | Minnesota Dental Surgery Pllc | Clinic/Center | 9801 Dupont Ave S, Bloomington, MN 55431-3100 | 2016-06-15 |
1770965717 | Gentle Dental | Clinic/Center | 3929 E 3rd St, Bloomington, IN 47401-5554 | 2015-06-26 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 55431 |
Please comment or provide details below to improve the information on ACTION DENTAL.
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.