Adam Gustav Shand, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12149 Issued in MN

Practice address

414 Railway St NW
Lonsdale, MN 55046-9661

Phone

(507) 744-2359

NPI assigned

Mar 14, 2007

Sex

Male

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

State licenses

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.

• Lonsdale Family Dental Clinic

  • General Practice Dentistry
  • Lonsdale, MN
  • NPI 1427260520
  NPD (past)
• Nokomis Family Dental PA

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1689284481
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275667396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 34TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171504",
            "telephone_number": "612-722-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 RAILWAY ST NW",
            "city": "LONSDALE",
            "state": "MN",
            "postal_code": "550469661",
            "telephone_number": "507-744-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAND",
        "first_name": "ADAM",
        "middle_name": "GUSTAV",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonsdale Chiropractic
• Lonsdale Family Dental Clinic
• Rhonda Lynn Meyer, CNP
• Northfield Hospital
• Brenda Marie Pederson, RPH
• Rebecca Pamela Skluzacek, DNP
• Matthew Jay Stockinger, D.D.S.
• Rebekah Sundby, BSN RN
• Lucas C Temme, DENTIST
• Three Links Management Services, LLC

• General Practice Dentistry in Lonsdale, MN
• Providers in Lonsdale, MN by specialty
• General Practice Dentistry 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.