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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIMA IBRAHIM ODOWA DDS
NPI 1164086807
Dentist - Pediatric Dentistry in Plymouth, MN

Active since April 29, 2019PECOS Enrolled
2805 CAMPUS DR STE 245, PLYMOUTH, MN 55441(763) 383-1788 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2026, May 8, 2024, Mar 21, 2021 and 2 more (5 updates tracked since 2019).

About Nima Ibrahim Odowa Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIMA IBRAHIM ODOWA DDS (NPI 1164086807) is an individual pediatric dentistry provider in Plymouth, Minnesota, licensed in Minnesota (D14186) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1164086807
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameNIMA IBRAHIM ODOWACredential: DDS
Location Address2805 CAMPUS DR STE 245Plymouth, MN 55441-2678
Mailing Address2805 Campus Dr Ste 245Plymouth, MN 55441-2678 · (763) 383-1788
Phone(763) 383-1788
Sole ProprietorNo
Enumeration DateApril 29, 2019
Last NPPES UpdateJuly 20, 20265 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1164086807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MN · D14186
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2805 CAMPUS DR STE 245, Plymouth, MN 55441
Open in Google Maps ↗

Secondary Practice Location 1

Location 12805 Campus Dr Ste 245Plymouth, MN 55441-2678 · Phone (763) 383-1788

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nima Ibrahim Odowa Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMP SMILE ORTHODONTICS PLYMOUTH PLLC
Clinic/Center (Dental)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788
ALISON SEAMANS
Dentist (Pediatric Dentistry)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788
DR. ALYSSA MARIE DOMICO DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788
DR. BRITTANY GRANOSKI DMD, FRCD(C)
Dentist (Pediatric Dentistry)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nima Odowa's NPI number?

The NPI number for Nima Odowa is 1164086807. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Nima Odowa located?

Nima Odowa practices at 2805 Campus Dr Ste 245, Plymouth, MN 55441. The listed phone number is (763) 383-1788.

What is Nima Odowa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Nima Odowa enrolled in Medicare?

Yes. Nima Odowa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nima Odowa was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.