Emily L Eggebrecht Pietig, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D12829 Issued in MN

Practice address

636 Broadway St NE
Minneapolis, MN 55413-2164

Phone

(612) 746-1530

NPI assigned

Jun 3, 2010

Last updated

Aug 8, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: epietig679432@direct.ochin.org

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.

• Children's Dental Services

  • Public Health Dentistry
  • Chisholm, MN
  • NPI 1669842662
  NPD (past)
• Childrens Dental Services Inc

  • Public Health Dentistry
  • Minneapolis, MN
  • NPI 1407973605
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1205156098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SHEPHERD HILLS CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311537",
            "telephone_number": "612-412-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 BROADWAY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132164",
            "telephone_number": "612-746-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGEBRECHT PIETIG",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdulkadir Egeh, DT
• Lindsey Sarah Egeler, MT-BC
• Terri L Egesdahl, RN-FA
• Kathryn Egge, LMFT
• Joshua Timothy Eggebraaten, DDS
• Mark A Eggen, MD
• Tabbatha Eguez Garcia
• Linda A Egwim, ANP, GNP
• Rachel Egyhazi, M.D.
• Callie Ehlenfeldt, RN

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.