Ignite Dental PLLC · General Practice Dentistry

8164 Evergreen Ln N, Maple Grove, MN 55369-3139

Overview

Ignite Dental PLLC is a General Practice Dentistry (organization) practicing in Minneapolis, Minnesota. The National Provider Identifier (NPI) is #1033052600, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 7710 Brooklyn Blvd Fl 1, Minneapolis, MN 55443-2979; the contact telephone number is 6512929331. The primary taxonomy of Ignite Dental PLLC is General Practice Dentistry (1223G0001X), with specialization in General Practice. The authorized official for Ignite Dental PLLC is Caroline Dsouza (Dentist).

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider Information

NPI 1033052600
Entity Type Organization
Organization Name IGNITE DENTAL PLLC
Provider Name IGNITE DENTAL PLLC
Practice Address 7710 Brooklyn Blvd Fl 1
Minneapolis
MN 55443-2979
Practice Telephone 6512929331
Mailing Address 8164 Evergreen Ln N
Maple Grove
MN 55369-3139
Certification Date 2026-04-09
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Organization Subpart N

Authorized Official Information

Official Name CAROLINE DSOUZA
Official Title DENTIST
Credential DMD
Telephone 6503989933

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1223G0001XDentistGeneral Practice193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 1223G0001X
Taxonomy General Practice Dentistry
Classification Dentist
Specialization General Practice
Grouping Dental Providers
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

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Location Information

Street Address 8164 EVERGREEN LN N
City MAPLE GROVE
State MN
Zip Code 55369-3139
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Ava Monro 8990 Zachary Ln N, Maple Grove, MN 55369Behavior Technician2023-05-24
Bright Star Community Service 14735 105th Pl N, Maple Grove, MN 55369In Home Supportive Care Agency2025-08-25
Maple Grove Center for Restorative Surgery 13601 80th Circle North, Suite 100, Maple Grove, MN 55369Ambulatory Surgical Clinic/Center2019-12-17
Lionrock Behavioral Health, Inc. 11670 Fountains Dr, Suite 200, Maple Grove, MN 55369Community/Behavioral Health Agency2016-04-27
Samantha Carmichael 6901 E Fish Lake Rd, Maple Grove, MN 55369Behavior Technician2025-07-11
Maple Grove Eye Care, LLC 9885 Maple Grove Parkway, Maple Grove, MN 55369Optometrist2023-08-29
Dental Delivery Systems of Maple Grove LLC 9400 Upland Lane N, Maple Grove, MN 55369General Practice Dentistry2025-05-12
New Found Hope LLC 11670 Fountains Drive, Suit 200 #149, Maple Grove, MN 55369Assisted Living Facility2021-01-15
Kayla Uptagrafft 9555 Upland Lane Norh, Maple Grove, MN 55369Athletic Trainer2017-02-13
Midwest Myofunctional Services LLC 11670 Fountains Dr. N, Suite 200, Maple Grove, MN 55369Speech-Language Pathologist2022-10-31
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Jj Dental-4 PLLC 9818 Pines Blvd, Pembroke Pines, FL 33024-6141Dental Clinic/Center2026-03-09
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.