Active NPI
Andrew Nerness, DDS MSD
- Endodontics
- Maplewood, MN
National Provider Identifier
1437443876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D13349
- Practice address
- 2945 Hazelwood St Ste 330
Maplewood, MN 55109-1241 - Phone
- (651) 777-7744
- NPI assigned
- Jun 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D13349 | MN | Primary |
Addresses
Primary practice location
2945 Hazelwood St Ste 330
Maplewood, MN 55109-1241
Mailing address
2480 White Bear Ave N Ste 202
Maplewood, MN 55109-4567
Phone (651) 777-7744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13349 | MN | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nerness Endodontics, P.C. | Past | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Maplewood, MN
- NPI 1063825701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562198400000",
"number": "1437443876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 WHITE BEAR AVE N STE 202",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551094567",
"telephone_number": "651-777-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST STE 330",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091241",
"telephone_number": "651-777-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERNESS",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2019-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MN",
"license": "D13349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.