Individual provider Active NPI

Megan Pint, D.D.S.

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1326454083
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13403 Issued in MN
Practice address
960 Grand Ave
Saint Paul, MN 55105-3014
Phone
(651) 291-9667
Fax
(952) 955-9783
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13403 MN Primary

Addresses

Primary practice location

960 Grand Ave
Saint Paul, MN 55105-3014

Mailing address

960 Grand Ave
Saint Paul, MN 55105-3014
Phone (651) 291-9667

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
I20161003002445 MN Order and Referring Only - DentistPractitioner - Dentist 1557658747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orono Dental Care PC CurrentSince Jul 1, 2023 Accepting new patients
Grand Avenue Dental, LLC PastSince Aug 23, 2020 Accepting new patients
Grand Dental Care, PLLC PastSince Feb 21, 2021 Accepting new patients

Organizations & group practices 3

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1326454083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-291-9667",
            "fax_number": "952-955-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-291-9667",
            "fax_number": "952-955-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINT",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.