Lervick Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LERVICK DENTISTRY PLLC

Practice address

5201 Eden Ave Ste 120
Edina, MN 55436-2358

Phone

(952) 746-0225

Fax

(952) 746-0227

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bridget Lervick, DDSNPI 1801107222

Title

Ceo

Phone

(952) 746-0225

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bridget Jean Lervick, DDS

  • General Practice Dentistry
  • Edina, MN
  • NPI 1801107222
  NPD Authorized official
• Mark Matthew Matsumoto, D.D.S.

  • General Practice Dentistry
  • Edina, MN
  • NPI 1053369975
  NPD (past)

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1629758305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 EDEN AVE STE 120",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362358",
            "telephone_number": "952-746-0225",
            "fax_number": "952-746-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 EDEN AVE STE 120",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362358",
            "telephone_number": "952-746-0225",
            "fax_number": "952-746-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LERVICK DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LERVICK",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-746-0225",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Nicole Leon
• Steven B. Leonard, M.D.
• Susan A Leonard, MD
• Christopher J Leoni, M.D.
• Desiree Lerro, DO
• Bridget Jean Lervick, DDS
• Gregory Neal Lervick, M.D.
• Amelia Lesher, MS, RD, LD
• Leske Chiropractic, PA (Health & Wellness Center - Edina)
• Leslie W. Jacobson, MD PA

• Dental Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.