Katrina Binstock, DDS
Individual provider Active NPI General Practice Dentistry · Wayzata, MN
NPI 1154490472 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154490472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D11222 (MN)
- Practice address
- 445 Lake St E
Suite 216
Wayzata, MN 55391-1657 - Phone
- (952) 473-4124
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160215002832 | MN | Order and Referring Only - Oral Surgery |
1557665320 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11222 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Dental Partners, PLLC | General Practice | Past |
Accepting new patients |
| Metro Dentalcare, PLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11222 | MN | Yes |
Addresses
Primary practice location
445 Lake St E
Suite 216
Wayzata, MN 55391-1657
Mailing address
PO Box 23029
Richfield, MN 55423-0029
Other providers in Wayzata, MN
- Jacob P Bergstedt
- Norman Thomas Berlinger
- Linda Beutel
- Miles Bichanich
- Peter Binnie
- Stephen R Bjorklund
- Troy Wendell Bjorklund
- Nancy Duffey Black
- Abbey Blair
- Jerome Thomas Blaschke
All providers in Wayzata, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.