Individual provider Active NPI

Monique Dawn Baune, DMD

  • General Practice Dentistry
  • Belle Plaine, MN
National Provider Identifier
1063585206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11183 Issued in MN
Practice address
201 W Raven St
Belle Plaine, MN 56011-1704
Phone
(952) 873-6380
Fax
(952) 873-6382
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11183 MN Primary

Addresses

Primary practice location

201 W Raven St
Belle Plaine, MN 56011-1704

Mailing address

201 W Raven St
Belle Plaine, MN 56011-1704
Phone (952) 873-6380

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
I20160302002156 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8123202959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11183MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Strait Smiles Family Dentistry Past Accepting new patients

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063585206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W RAVEN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111704",
            "telephone_number": "952-873-6380",
            "fax_number": "952-873-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W RAVEN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111704",
            "telephone_number": "952-873-6380",
            "fax_number": "952-873-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUNE",
        "first_name": "MONIQUE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Plaine, MN

Sources for this page

Verify at the official NPI Registry.