Active NPI
Andree-Maude Dubois Lebel, DMD
- Pediatric Dentistry
- Brooklyn Center, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D12885
- Practice address
- 5901 John Martin Dr
Brooklyn Center, MN 55430-2509 - Phone
- (763) 585-8700
- NPI assigned
- Jul 12, 2007
- Last updated
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D12885 | MN | Primary |
Addresses
Primary practice location
5901 John Martin Dr
Brooklyn Center, MN 55430-2509
Mailing address
1850 Terraceview LN N
Apt. a
Plymouth, MN 55447-6503
Phone (651) 600-8019
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Pediatric Dentistry | Current | Accepting new patients |
Locations
5901 John Martin Dr
Minneapolis, MN 55430
Phone (763) 566-3770
3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775
Organizations & group practices 3
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Como Dental Clinic
- Prosthodontics
- Saint Paul, MN
- NPI 1780739417
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
Pediatric Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1629277330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 TERRACEVIEW LN N",
"address_2": "APT. A",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554476503",
"telephone_number": "651-600-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 JOHN MARTIN DR",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302509",
"telephone_number": "763-585-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS LEBEL",
"first_name": "ANDREE-MAUDE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "D12885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.