Rachel Anne Mondry, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13175 Issued in MN

Practice address

11800 Aberdeen St NE Ste 110
Blaine, MN 55449-4812

Phone

(763) 786-4280

NPI assigned

Jun 8, 2010

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

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

• Nodlandmondry, P.L.L.C.

  dba Aberdeen Dental Associates

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1952997421
  NPD Authorized official

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1689994006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 MAVELLE DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354128",
            "telephone_number": "402-560-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ABERDEEN ST NE STE 110",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494812",
            "telephone_number": "763-786-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 Robert St S",
            "address_purpose": "LOCATION",
            "city": "West St Paul",
            "state": "MN",
            "postal_code": "551183904",
            "country_code": "US",
            "telephone_number": "651-457-9633",
            "fax_number": "651-457-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDRY",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08743",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikram Mohamed
• Mohamed Mohamed
• Yasmin Mohamed
• Stephanie Lynn Mollinger, DPT
• Momiss Home Health Care Services LLC
• Eleanor Monson, PT, DPT
• Shelley Marie Montbriand, CCC-SLP
• Kara S Montminy, PA
• Briana Moore
• Lawrence Moritko, DC

• Dentist in Blaine, MN
• Providers in Blaine, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.

Verify at the official NPI Registry.