Cynthia Faye Drost-Sandy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11132 Issued in MN

Practice address

205A 2ND Ave NW
Roseau, MN 56751-1007

Phone

(218) 463-2100

Fax

(218) 463-3055

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lorris G. Vatnsdal, LTD.

  • General Practice Dentistry
  • Roseau, MN
  • NPI 1336204536
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164584322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "567630866",
            "telephone_number": "218-463-2100",
            "fax_number": "218-463-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A 2ND AVE NW",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511007",
            "telephone_number": "218-463-2100",
            "fax_number": "218-463-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROST-SANDY",
        "first_name": "CYNTHIA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice G Carr-Herseth, LICSW
• Center Street Dental Professionals, P.a.
• Kayla Dahl
• Shivali Devgon, MD
• Annabi I Djalo, MD
• Tara Ellenson, MOTR/L
• Devaughn Erickson, O.D.
• Matthew Lew Erickson, D.C.
• Marianne Renae Foldesi, PA-C
• Elle Mae Frislie, RN

• All providers in Roseau, MN
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.