Active NPI
Brian Lee Vieregge, DDS
- Dentist
- Bloomington, MN
National Provider Identifier
1740246230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11938
- Practice address
- 10554 France Ave S
Bloomington, MN 55431 - Phone
- (952) 888-4125
- Fax
- (952) 888-9083
- NPI assigned
- Apr 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D11938 | MN | Primary |
Addresses
Primary practice location
10554 France Ave S
Bloomington, MN 55431
Mailing address
PO Box 23029
Richfield, MN 55423
Phone (612) 861-9123
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160223002008 | MN | Order and Referring Only - Dentist | 3072818483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11938 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Dentalcare, PLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Lakeville, MN
- NPI 1316913411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740246230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23029",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "55423",
"telephone_number": "612-861-9123",
"fax_number": "612-861-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10554 FRANCE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55431",
"telephone_number": "952-888-4125",
"fax_number": "952-888-9083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEREGGE",
"first_name": "BRIAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D11938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.