Active NPI
Beth Renee Hiner Baribeau, RDH
- Public Health Dentistry
- Minneapolis, MN
National Provider Identifier
1669086716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- H4474
- Practice address
- 755 Florida Ave S
Minneapolis, MN 55426-1784 - Phone
- (763) 541-6000
- NPI assigned
- Sep 6, 2020
- Last updated
- Sep 6, 2020
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | H4474 | MN | Primary |
Addresses
Primary practice location
755 Florida Ave S
Minneapolis, MN 55426-1784
Mailing address
821 Hillside Ave SW
New Prague, MN 56071-4159
Phone (612) 751-8625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4474 | MN | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599350400000",
"number": "1669086716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 HILLSIDE AVE SW",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560714159",
"telephone_number": "612-751-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 FLORIDA AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554261784",
"telephone_number": "763-541-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARIBEAU",
"first_name": "BETH",
"middle_name": "RENEE HINER",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-06",
"last_updated": "2020-09-06",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MN",
"license": "H4474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.