Individual provider Active NPI

Andrew Graham Pearson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Edina, MN
National Provider Identifier
1043476054
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D1222 Issued in MN
Practice address
7373 France Ave S
Suite 602
Edina, MN 55435-4534
Phone
(952) 835-5003
NPI assigned
Jul 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D1222 MN Primary

Addresses

Primary practice location

7373 France Ave S
Suite 602
Edina, MN 55435-4534

Mailing address

7373 France Ave So
Suite 602
Edina, MN 55435
Phone (952) 835-5003

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000316 MN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 9638295785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
University of Minnesota School of Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgical Consultants PAGroup PAC ID 2961489844, 11 clinicians

Practice addresses (Care Compare)

250 N Central Ave
Suite 126
Wayzata, MN 55391-1293
Phone (952) 475-2266

7373 France Ave S
Suite 602
Edina, MN 55435-4552
Phone (952) 835-5003

7770 Dell Rd
Suite 100
Chanhassen, MN 55317-9316
Phone (952) 975-0605

Hospital & facility affiliations

  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D1222MNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery CurrentSince Aug 2, 2010 Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients

Locations

7770 Dell Rd
Ste 100
Chanhassen, MN 55317
Phone (952) 435-4150

7373 France Ave S
Ste 602
Edina, MN 55435
Phone (612) 835-5003

6350 W 143rd St
Ste 206
Savage, MN 55378
Phone (952) 435-4150

250 Central Ave N
Ste 126
Wayzata, MN 55391
Phone (952) 475-2266

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1043476054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE SO",
            "address_2": "SUITE 602",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-835-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "address_2": "SUITE 602",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "952-835-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ANDREW",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.