Individual provider Active NPI

Lindsay Pfeifer Bevis, DDS

  • Dentist
  • Chaska, MN
National Provider Identifier
1154925485
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14528 Issued in MN
Practice address
1200 Chaska Creek Way Ste 150
Chaska, MN 55318-2749
Phone
(952) 448-3077
NPI assigned
Nov 27, 2020
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14528 MN Primary

Addresses

Primary practice location

1200 Chaska Creek Way Ste 150
Chaska, MN 55318-2749

Mailing address

1200 Chaska Creek Way Ste 150
Chaska, MN 55318-2749
Phone (952) 448-3077

Other practice location 1

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone (612) 725-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D14528MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Bevis PLLC Dentist Current Accepting new patients

Locations

425 2nd St
Ste A
Excelsior, MN 55331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1154925485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHASKA CREEK WAY STE 150",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182749",
            "telephone_number": "952-448-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHASKA CREEK WAY STE 150",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182749",
            "telephone_number": "952-448-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172309",
            "country_code": "US",
            "telephone_number": "612-725-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVIS",
        "first_name": "LINDSAY",
        "middle_name": "PFEIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.