Jeffrey Scott Forslund

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10323 Issued in MN

Practice address

1575 20TH Street Northwest
Suite 102
Faribault, MN 55021-2932

Phone

(507) 334-6433

Fax

(507) 334-0044

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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

Specialty

Dentist

Education

University of Minnesota School of Dentistry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Heights Dental Group PA

  • General Practice Dentistry
  • Faribault, MN
  • NPI 1932247921
  Medicare reassignment NPD
• Snoring and Sleep Apnea Dental Treatment Center

  • General Practice Dentistry
  • Edina, MN
  • NPI 1063644888
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528187382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH STREET NORTHWEST",
            "address_2": "SUITE 102",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212932",
            "telephone_number": "507-334-6433",
            "fax_number": "507-334-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH STREET NORTHWEST",
            "address_2": "SUITE 102",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212932",
            "telephone_number": "507-334-6433",
            "fax_number": "507-334-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSLUND",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325522100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick Richard Ferron, M.D.
• First Stop Transportation Services
• Briana Fish, SLP
• Valerie D Fisher
• Rebecca Jean Foley, OTR
• Sara Jean Harel Frandsen
• Lauren Frankenfield, PA-C
• Judy Lynn Fruehbrodt-Glenzinski, M.D.
• Shannon Jean Garlitz, AU.D.
• Kathleen Baker Gerber, DDS

• General Practice Dentistry in Faribault, MN
• Providers in Faribault, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.