Nancy Ellen McDermott, DMD MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

S121 Issued in MN

Practice address

605 W Oakland Ave
Semoms
Austin, MN 55912-2317

Phone

(507) 433-1031

Fax

(507) 433-6115

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Oral Surgery

Education

Harvard School of Dental Medicine, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Dakota Valley Oral and Maxillofacial Surgery PLLCGroup PAC ID 9436127560, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Dakota Valley Oral and Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Paul, MN
  • NPI 1366568206

  MN, Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Southeastern Minnesota Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery Clinic/Center
  • Rochester, MN
  • NPI 1659492312
  NPD (past)
• Saratoga County Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Saratoga Springs, NY
  • NPI 1639196637

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494028800000",
    "number": "1679549182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W OAKLAND AVE",
            "address_2": "SEMOMS",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122317",
            "telephone_number": "507-433-1031",
            "fax_number": "507-433-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W OAKLAND AVE",
            "address_2": "SEMOMS",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122317",
            "telephone_number": "507-433-1031",
            "fax_number": "507-433-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "S121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayo Clinic Health System-Southeast Minnesota Region
• Mayo Clinic Health System-Southeast Minnesota Region
• Mayo Clinic Health System-Southeast Minnesota Region
• Jessica Elisa Mazariegos
• Ciara Renae McCarter, PHARMD
• Joanne Marie McGaffey, CNP
• Tamara McMasters, R.N
• Jaselyn Catherine McReaken, DPT
• Med City Mobility, LLC
• Cheryl Rae Mentz, RPH

• All providers in Austin, MN
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.