Darin L Edeen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11241 Issued in MN

Practice address

802 Center Ave West
Dilworth, MN 56529

Phone

(218) 287-2938

Fax

(218) 287-0317

NPI assigned

Sep 26, 2006

Last updated

Jan 22, 2015By the provider in NPPES

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

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

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.

• Darin L. Edeen, DDS, PC

  dba Edeen Family Dentistry

  • General Practice Dentistry
  • Dilworth, MN
  • NPI 1881065225
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1609977354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CENTER AVE W",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291339",
            "telephone_number": "218-287-2938",
            "fax_number": "218-287-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CENTER AVE WEST",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "56529",
            "telephone_number": "218-287-2938",
            "fax_number": "218-287-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEEN",
        "first_name": "DARIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059816000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corner Medical LLC (Corner Home Medical)
• Stephanie Brook Corwin, PHARMD
• Dab of Pelican Rapids (Red River Recovery Center)
• Darin L. Edeen, DDS, PC (Edeen Family Dentistry)
• Dean Dubay, RPH
• Grand St. Paul CVS, L.L.C. (CVS Pharmacy # 06810)
• Daniel Ralph Gulseth, RPH
• Kelsi Homan, LPCC
• Arlene Hunter
• Isd 2164

• General Practice Dentistry in Dilworth, MN
• Providers in Dilworth, 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 Jan 22, 2015; 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.