Dennis Lee Nierengarten, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9004 Issued in MN

Practice address

1511 Northway Dr
Suite 102
Saint Cloud, MN 56303-1261

Phone

(320) 255-1020

Fax

(320) 255-1732

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• Dr. Dennis L. Nierengarten, D.D.S., P.a.

  • Exclusive Provider Organization
  • Saint Cloud, MN
  • NPI 1649590829
  NPD (past) Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1487691887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR",
            "address_2": "SUITE 102",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031261",
            "telephone_number": "320-255-1020",
            "fax_number": "320-255-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR",
            "address_2": "SUITE 102",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031261",
            "telephone_number": "320-255-1020",
            "fax_number": "320-255-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERENGARTEN",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Lynne Nielsen, RN
• Karen M Nielsen, L.AC., MSOM
• Kendra Marie Nielson
• Shari Ann Niemela
• Kelian Nier, MA, LADC
• Donald Patrick Nierengarten, DDS
• Cathryn J Nissen, LICSW
• Nicole Nistler
• Celestine C Nnenanya
• Noblecare Services Inc

• General Practice Dentistry in Saint Cloud, MN
• Providers in Saint Cloud, 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 May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.