Individual provider Active NPI

Brian Lewis Pierce, D.D.S.

  • Dentist
  • New Brighton, MN
National Provider Identifier
1194820258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10162 Issued in MN
Practice address
969 Old Highway 8 NW
Suite 200
New Brighton, MN 55112-2793
Phone
(651) 639-8445
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10162 MN Primary

Addresses

Primary practice location

969 Old Highway 8 NW
Suite 200
New Brighton, MN 55112-2793

Mailing address

969 Old Highway 8 NW
Suite 200
New Brighton, MN 55112-2793
Phone (651) 639-8445

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
I20150421001442 MN Order and Referring Only - DentistPractitioner - Dentist 8921326067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian L. Pierce, D.D.S., P.a. Dentist Past 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194820258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 OLD HIGHWAY 8 NW",
            "address_2": "SUITE 200",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122793",
            "telephone_number": "651-639-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 OLD HIGHWAY 8 NW",
            "address_2": "SUITE 200",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122793",
            "telephone_number": "651-639-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BRIAN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "10162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

Verify at the official NPI Registry.