Nicole Amy Giddings, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11803 Issued in MN

Practice address

4959 Excelsior Blvd
#200
St Louis Park, MN 55416-3033

Phone

(952) 920-8774

Fax

(952) 920-8979

NPI assigned

Dec 7, 2006

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

Opted out of Medicare

Yes, effective Feb 23, 2024 through Feb 23, 2028

Medicare enrollment (NPD)

Not 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.

• Family Orthodontic Specialists PLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Louis Park, MN
  • NPI 1104569839
  NPD (past)
• Minnesota Dental Implants

  • Dental Clinic/Center
  • Otsego, MN
  • NPI 1386312411
  NPD (past)
• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • St Louis Park, MN
  • NPI 1801043096
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386703189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 SADDLEBROOK RD",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553133750",
            "telephone_number": "763-682-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 EXCELSIOR BLVD",
            "address_2": "#200",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163033",
            "telephone_number": "952-920-8774",
            "fax_number": "952-920-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDINGS",
        "first_name": "NICOLE",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Gerstner
• Bhargavi Shiledar Baxi Ghate, LICSW
• Savina Ghelfi, MD
• Anil Jerry Gherau, DO
• Joan Giampaoli
• Kathy Anne Gieselman, M.A.
• Alyssa Lyn Giesen, OTR/L
• Dominique Giesen, DC
• Thomas J Gilbert Jr., MD
• Grace Emmaline Gilbertson

• General Practice Dentistry in St Louis Park, MN
• Providers in St Louis Park, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.