Individual provider Active NPI

Remington James Brisbois, DDS

  • General Practice Dentistry
  • Wabasha, MN
National Provider Identifier
1265224646
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15253 Issued in MN
Practice address
207 Main St W
Wabasha, MN 55981-1238
Phone
(651) 565-3511
NPI assigned
May 21, 2025
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 D15253 MN Primary

Addresses

Primary practice location

207 Main St W
Wabasha, MN 55981-1238

Mailing address

6695 Lodgeview Cir NW Unit 2
Rochester, MN 55901-6598
Phone (651) 485-1166

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
I20250707003570 MN Order and Referring Only - DentistPractitioner - Dentist 0941714554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wabasha Dentistry LLC General Practice PastSince May 25, 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, 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": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1265224646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 LODGEVIEW CIR NW UNIT 2",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016598",
            "telephone_number": "651-485-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAIN ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811238",
            "telephone_number": "651-565-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBOIS",
        "first_name": "REMINGTON",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabasha, MN

Sources for this page

Verify at the official NPI Registry.