Individual provider Active NPI

Lois F Duerst, DDS

  • Dentist
  • Stillwater, MN
National Provider Identifier
1063510188
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10039 Issued in MN
Practice address
1395 Curve Crest Blvd W
Stillwater, MN 55082-6069
Phone
(651) 430-0036
Fax
(651) 430-0191
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10039 MN Primary

Addresses

Primary practice location

1395 Curve Crest Blvd W
Stillwater, MN 55082-6069

Mailing address

1395 Curve Crest Blvd W
Stillwater, MN 55082-6069
Phone (651) 430-0036

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604001926 MN Practitioner - Oral Surgery 7315268182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. Dentist CurrentSince Aug 1, 2015 Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2015 Accepting new patients

Locations

3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775

1395 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 430-0036

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1063510188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826069",
            "telephone_number": "651-430-0036",
            "fax_number": "651-430-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826069",
            "telephone_number": "651-430-0036",
            "fax_number": "651-430-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERST",
        "first_name": "LOIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.