OrganizationActive
Nokomis Family Dental PA
NPI 1689284481 · Dental Clinic/Center · Minneapolis, MN
Nokomis Family Dental PA is a Dental Clinic/Center organization in Minneapolis, MN (NPI 1689284481).
Provider details
- NPI number
- 1689284481
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Jacobson, Business Manager(952) 881-0504
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4948 34th Ave S
Minneapolis, MN 55417-1504
Phone: (612) 722-4676
Street-level locationGet directions
Mailing address
8910 Penn Ave S
Bloomington, MN 55431-2025
Registry dates
- Enumerated
- 2020-08-06
- Last updated
- 2020-08-06
- Certified
- 2020-08-06
Frequently asked questions
- What is Nokomis Family Dental PA's NPI number?
- Nokomis Family Dental PA's National Provider Identifier (NPI) is 1689284481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nokomis Family Dental PA?
- Nokomis Family Dental PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Nokomis Family Dental PA located?
- Nokomis Family Dental PA's practice location on file with NPPES is 4948 34th Ave S, Minneapolis, MN 55417-1504.
- What is Nokomis Family Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Nokomis Family Dental PA is (612) 722-4676.
- Who is the authorized official for Nokomis Family Dental PA?
- The authorized official listed on Nokomis Family Dental PA's NPPES record is Sam Jacobson, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nokomis Family Dental PA's NPI active?
- Yes — Nokomis Family Dental PA's NPI (1689284481) is active in the NPPES registry as of the last update on 2020-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.