KRISTA PRIMLEY (NPI# 1073013025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073013025 |
| Entity Type | Individual |
| Full Name | KRISTA PRIMLEY |
| Practice Address |
515 Delaware St Se Minneapolis MN 55455 |
| Mailing Address |
515 Delaware St Se Minneapolis MN 55455-0357 |
| Practice Telephone | 6126248600 |
| Mailing Telephone | 6126248600 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D14292 | MN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RES-30533 | IA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193567339 |
| Street Address |
515 DELAWARE ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1285294611 | Brian Michael Laing | Dentist | 7-147 Moos Health Science Tower, 515 Delaware Street S.e., Minneapolis, MN 55455-0357 | 2019-06-18 |
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1114154143 | Reda Taleb | Dentist | 7-174 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2009-06-17 |
| 1891869293 | Andrew Richard Ballin | Dentist | 6053 Nicollet Ave, Minneapolis, MN 55419-2558 | 2006-11-17 |
| 1740353564 | Daniel A Larson | Dentist | 515 Delaware St Ne, 7th Floor Moos Tower, Minneapolis, MN 55455-0329 | 2006-11-17 |
| 1881620771 | Robert Allan Nadeau | Dentist | 515 Delaware St. Se, 7-174d Malcolm Moos Tower, Minneapolis, MN 55455 | 2006-06-23 |
| 1699745323 | Paul Christopher Tompach | Dentist | 515 Delaware Street Se, 7-174 Moos Health Sciences Tower, Minneapolis, MN 55455 | 2006-01-25 |
| 1922623834 | Mohammad Mujtaba Methani | Dentist | 515 Delaware Street Se, Moos Health Science Tower, Minneapolis, MN 55455 | 2020-06-16 |
| 1215388061 | Aarathi Rao | Dentist | 515 Delaware Street Se, 7-174 Moos Health Science Tower, Minneapolis, MN 55455-0329 | 2016-06-23 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.