Individual provider Active NPI

Lisa Spier, DDS

  • General Practice Dentistry
  • Buffalo, MN
National Provider Identifier
1629089479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10723 Issued in MN
Practice address
20 1St Ave S
Buffalo, MN 55313-1409
Phone
(763) 682-2572
Fax
(763) 682-2700
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D10723 MN Primary

Addresses

Primary practice location

20 1St Ave S
Buffalo, MN 55313-1409

Mailing address

20 1St Ave S
Buffalo, MN 55313-1409
Phone (763) 682-2572

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150521002519 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890015499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Care Associates of Buffalo PA CurrentSince May 10, 1995 Accepting new patients

Locations

20 1st Ave S
Buffalo, MN 55313
Phone (763) 682-2572

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629089479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 1ST AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131409",
            "telephone_number": "763-682-2572",
            "fax_number": "763-682-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 1ST AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131409",
            "telephone_number": "763-682-2572",
            "fax_number": "763-682-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIER",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

Verify at the official NPI Registry.