Victoria Ann Severson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13376 Issued in MN

Practice address

501 W College Dr
Brainerd, MN 56401-3904

Phone

(218) 855-8244

Fax

(218) 855-8270

NPI assigned

Jun 4, 2014

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1801209101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W COLLEGE DR",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013904",
            "telephone_number": "218-855-8244",
            "fax_number": "218-855-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W COLLEGE DR",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013904",
            "telephone_number": "218-855-8244",
            "fax_number": "218-855-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Life Chiropractic, Inc.
• Service Drug of Brainerd, Inc
• Claribel Severson, PHD, NCC, LPCC
• Katherine Severson, PHARMD
• Michael Severson
• Ian A Shields, PA-C
• Megan Lee Sibbert, MSW, LICSW
• Stephanie Silgjord, MSW, LICSW
• Denise Marie Sjodin, RN
• Susan Skarp, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.