Laura Ann Nijssen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13063 Issued in MN

Practice address

501 Main St NW
Elk River, MN 55330-1880

Phone

(763) 441-4200

NPI assigned

May 21, 2012

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Laura Nygaard Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1023378320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 VETERANS DR",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553037500",
            "telephone_number": "763-422-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301880",
            "telephone_number": "763-441-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIJSSEN",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "NYGAARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candice Nemes
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• Courtney Stacia Newey
• Monica Nicholls
• Eileen Mary Niehaus, MS LP
• Carol Nohner, PT
• Northern Cities Therapy, Inc.
• Northland Dental Partners, PLLC (Metro Dentalcare Elk River)
• Northland Hearing Center Inc (Pin Drop Hearing)
• Northway Academy, Inc.

• General Practice Dentistry in Elk River, MN
• Providers in Elk River, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.