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REGENTS OF THE UNIVERSITY OF MINNESOTA
NPI 1477378636
Dentist - Pediatric Dentistry in Minneapolis, MN

Active since November 21, 2024CLIA 24D2270821 · Waiver
701 25TH AVE S STE 400, MINNEAPOLIS, MN 55454(612) 626-4232 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regents Of The University Of Minnesota NPPES

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

REGENTS OF THE UNIVERSITY OF MINNESOTA (NPI 1477378636), doing business as University Of Minnesota Pediatric Dental Clinic, is a healthcare organization registered as a pediatric dentistry in Minneapolis, Minnesota and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through October 20, 2026 and lists Keith Mays, Dean, as its authorized official.

NPPES Registry Identity

NPI1477378636
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameREGENTS OF THE UNIVERSITY OF MINNESOTA
Location Address701 25TH AVE S STE 400Minneapolis, MN 55454-1443
Mailing Address515 Delaware St Se, 7-521 Moos TowerMinneapolis, MN 55455-0357 · (612) 659-4900
Phone(612) 626-4232
Organization SubpartYes
Authorized OfficialKeith MaysDean · (612) 624-2424
Enumeration DateNovember 21, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1477378636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
701 25TH AVE S STE 400, Minneapolis, MN 55454
Open in Google Maps ↗

Other Names 1

Doing Business AsUniversity Of Minnesota Pediatric Dental Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2270821

Regents Of The University Of Minnesota · Minneapolis, MN
Active · expires Oct 20, 2026
CLIA Number24D2270821
Laboratory TypeHealth Fair
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorAmy L. Pleimling
Laboratory Phone(612) 626-3500
Laboratory LocationRegents Of The University Of Minnesota300 West Bank Office Building, 1300 S 2nd Street, Minneapolis, MN 55454
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

DR. TAEKHYUN RHEE
Student in an Organized Health Care Education/Training Program
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 659-4900
DR. RYAN PATRICK MCELDOWNEY DMD
Student in an Organized Health Care Education/Training Program
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-7232
KYLIE KAREN MULLANEY DDS
Dentist (Pediatric Dentistry)
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 839-7271
JUNHO LEE
Student in an Organized Health Care Education/Training Program
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 659-4900
DR. VARADA SAHASRABUDHE DMD
Dentist (Pediatric Dentistry)
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 659-4900
MOHAMAD ABU SHARKH
Student in an Organized Health Care Education/Training Program
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (519) 659-4900
ALEC CHRISTOPHER GRABINSKI DDS
Dentist (Pediatric Dentistry)
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 659-4900
MIRANDA THACKER DDS
Dentist (Pediatric Dentistry)
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-7232

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 Regents Of The University Of Minnesota's NPI number?

The NPI number for Regents Of The University Of Minnesota is 1477378636. It was assigned to this organization in the NPPES registry on November 21, 2024. The provider is doing business as University of Minnesota Pediatric Dental Clinic.

Where is Regents Of The University Of Minnesota located?

Regents Of The University Of Minnesota is located at 701 25th Ave S Ste 400, Minneapolis, MN 55454. The listed phone number is (612) 626-4232.

What is Regents Of The University Of Minnesota's specialty?

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

Does Regents Of The University Of Minnesota hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2270821) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regents Of The University Of Minnesota was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.