Todd Brewer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13456 Issued in MN

Practice address

430 2ND Street
Dassel, MN 55325

Phone

(320) 275-2954

NPI assigned

Jul 9, 2014

Sex

Male

Sole proprietor

Yes

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.

• Todd a Brewer DDS PLLC

  • Dental Clinic/Center
  • Watertown, MN
  • NPI 1356955868
  NPD Authorized official
• Kenneth D. Ness, DDS, PC

  • General Practice Dentistry
  • Dassel, MN
  • NPI 1962672733

  General Practice

  NPD (past)
• Winsted Dental PLLC

  • Dental Clinic/Center
  • Dassel, MN
  • NPI 1194264408
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2014.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1124434295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "DASSEL",
            "state": "MN",
            "postal_code": "553250128",
            "telephone_number": "320-275-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 2ND STREET",
            "city": "DASSEL",
            "state": "MN",
            "postal_code": "55325",
            "telephone_number": "320-275-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "TODD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Way Out Sober Living LLC
• Augustana Dassel Lakeside Community Home LLC
• Augustana Dassel Lakeside Community Home, LLC
• Charger Chiropractic & Soft Tissue Center P.C.
• Shane Mathew Colberg, DC
• County of Meeker
• Carolyn Genette Decker, L.D.
• Sierra Jean Geritz, M.S., CCC-SLP

• All providers in Dassel, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.