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BAO SHIRLEY THAO DMD
NPI 1841030939
Dentist in Minneapolis, MN

Active since May 28, 2024PECOS Enrolled
701 25TH AVE S STE 400, MINNEAPOLIS, MN 55454(916) 281-6067 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bao Shirley Thao Dmd NPPES

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

BAO SHIRLEY THAO DMD (NPI 1841030939) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (D15052) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841030939
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameBAO SHIRLEY THAOCredential: DMD
Location Address701 25TH AVE S STE 400Minneapolis, MN 55454-1443
Mailing Address6445 Lyndale Ave S Apt 513Richfield, MN 55423-7569 · (916) 281-6067
Phone(916) 281-6067
Sole ProprietorYes
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1841030939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D15052
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
701 25TH AVE S STE 400, Minneapolis, MN 55454
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bao Shirley Thao Dmd 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 55454 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 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
REGENTS OF THE UNIVERSITY OF MINNESOTA
Dentist (Pediatric Dentistry)
701 25TH AVE S STE 400
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-4232
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

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 Bao Thao's NPI number?

The NPI number for Bao Thao is 1841030939. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Bao Thao located?

Bao Thao practices at 701 25th Ave S Ste 400, Minneapolis, MN 55454. The listed phone number is (916) 281-6067.

What is Bao Thao's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bao Thao enrolled in Medicare?

Yes. Bao Thao is registered in the Medicare PECOS enrollment system.

What insurance does Bao Thao accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Bao Thao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bao Thao was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.