Individual provider Active NPI

Marlayna Majerus, DMD

  • General Practice Dentistry
  • Columbia Heights, MN
National Provider Identifier
1194607002
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15369 Issued in MN
Practice address
5220 Central Ave NE Ste 240
Columbia Heights, MN 55421-1823
Phone
(763) 275-1319
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 D15369 MN Primary

Addresses

Primary practice location

5220 Central Ave NE Ste 240
Columbia Heights, MN 55421-1823

Mailing address

4066 Lexington Ave N Apt 411
Shoreview, MN 55126-2966
Phone (715) 821-0649

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
I20250916000767 MN Order and Referring Only - DentistPractitioner - Dentist 1658875513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D15369MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Heights Dentistry, PC General Practice PastSince Jul 28, 2025 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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1194607002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 LEXINGTON AVE N APT 411",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262966",
            "telephone_number": "715-821-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 CENTRAL AVE NE STE 240",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211823",
            "telephone_number": "763-275-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJERUS",
        "first_name": "MARLAYNA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

Verify at the official NPI Registry.