James Lipon, D.D.S.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

13930 Issued in MN

Practice address

701 Park Ave
Minneapolis, MN 55415

Phone

(612) 873-3000

Fax

(612) 659-4901

NPI assigned

May 8, 2014

Sex

Male

Sole proprietor

No

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.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2018.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1558772863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 FREMONT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195210",
            "telephone_number": "780-720-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-873-3000",
            "fax_number": "612-659-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "13930",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "MN",
            "license": "13930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kjirsten Lipa, LADC
• Alexandra Lipinski, PHD
• Ben Lipkin
• Gina Lipkin, PHARMD
• Polina Gerber Lipnik, PHARMD
• Lisa Jo Lippold, MA, LPCC, LADC
• Daniel Lee Lips, MD
• Adam Raphael Lipschultz, M.D.
• Martin L Lipschultz, M.D.
• Sharon D. Lipscomb, F.N.P.

• All providers in Minneapolis, MN
• Dental Anesthesiology in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.