Lucy Helen-Nevanen Corrin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13985 Issued in MN

Practice address

303 Main Ave
Bigfork, MN 56628

Phone

(218) 743-3600

NPI assigned

May 18, 2018

Last updated

May 18, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cook Area Health Services, Inc.

  dba Scenic Rivers Health Services

  • Dental Clinic/Center
  • Bigfork, MN
  • NPI 1508307018
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1770073322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50631 NEWBURG LN",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566284176",
            "telephone_number": "218-280-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAIN AVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "56628",
            "telephone_number": "218-743-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIN",
        "first_name": "LUCY",
        "middle_name": "HELEN-NEVANEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Leigh Bibeau, PHARM.D.
• Bigfork Ambulance Service Association
• Megan Brekke, RD
• Cook Area Health Services, Inc (Scenic Rivers Health Services)
• Cook Area Health Services, Inc. (Scenic Rivers Health Services)
• Jeff Dahlquist, PA-C
• Derek L Gustafson, D.D.S., P.a.
• Kari Ann Drake, PA-C
• Suanne Marie Dullard, DDS
• Michalla Marie Dunaj-Compo, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.