DR. ABDOLLAH RAHIMI (NPI# 1801881370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801881370 |
Entity Type | Individual |
Full Name | DR. ABDOLLAH RAHIMI |
Practice Address |
15600 36th Ave N Suite 100 Plymouth MN 55446-3369 |
Practice Telephone | 7635597688 |
Practice Fax Number | 7635592237 |
Mailing Telephone | 7635597688 |
Mailing Fax Number | 7635592237 |
Enumeration Date | 2005-09-12 |
Last Update Date | 2007-07-08 |
NPI Deactivation Date | 03/22/2006 |
NPI Reactivation Date | 2006-04-05 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
D10465 | MN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS BLUE SHIELD | 52D14RA | 01 |
MN | PREFERRED ONE | 01006428 | 01 |
MN | MEDICA | 86-24115 | 01 |
Street Address |
15600 36TH AVE N SUITE 100 |
City | PLYMOUTH |
State | MN |
Zip Code | 55446-3369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649631102 | John James Irwin Jr. | Hearing Instrument Specialist | 15600 36th Ave N, Suite 240, Plymouth, MN 55446-3369 | 2016-03-11 |
1770601403 | Scott D Scharf | Dentist | 15600 36th Ave N, Suite 270, Plymouth, MN 55446-3369 | 2007-03-27 |
1699816132 | Harrington Orthodontics Ltd | Dentist | 15600 36th Ave N, Suite 170, Plymouth, MN 55446-3369 | 2007-02-09 |
1215083183 | Northwoods Dental | Dentist | 15600 36th Ave N, Suite 270, Plymouth, MN 55446-3369 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
Find all providers in zip 55446 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609844760 | Daniel Joseph Gatto | Dentist | 9950 Valley Creek Rd, Woodbury, MN 55125-4883 | 2006-03-14 |
1194702647 | James Immanuel Midtling | Dentist | 155 Wabasha St S, Suite #111, Saint Paul, MN 55107-1801 | 2005-12-27 |
1891786224 | Thomas Maurice Keane Jr. | Dentist | 8900 Penn Ave So., Suite 211, Bloomington, MN 55431 | 2005-11-03 |
1669461554 | James Barthel | Dentist | 925 Highway 55, Ste 202, Hastings, MN 55033-3734 | 2005-10-14 |
1912996802 | Michael Downie | Dentist | 8480 Woodbury Xing Ste 120, Woodbury, MN 55125-9406 | 2005-10-14 |
1992703987 | James P Hughes | Dentist | 50 W 2nd St, Suite 201, Winona, MN 55987-3440 | 2005-07-13 |
1780855171 | Esthesia Oral Surgery Care, Pa | Dentist | 3400 W 66th St, Suite 270, Edina, MN 55435-2111 | 2008-03-13 |
1821185844 | Anupama Grandhi | Dentist | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2006-10-10 |
1598865651 | Family Oral Surgery Specialists Plc | Dentist | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2006-09-25 |
1588767461 | Gregory Warren Hueler | Dentist | 13875 Hwy 13 Frontage Rd, Suite 50, Savage, MN 55378 | 2006-09-06 |
Find all providers with the same taxonomy |
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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.