Bryan Neil Laskin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11325 Issued in MN

Practice address

109 Bushaway Rd Ste 300
Wayzata, MN 55391-2079

Phone

(952) 475-0225

Fax

(952) 475-0776

NPI assigned

May 8, 2007

Last updated

May 18, 2011By the provider in NPPES

Sex

Male

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

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

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.

• Lake Minnetonka Dental

  dba Bryan N Laskin DDS PA

  • Dentist
  • Wayzata, MN
  • NPI 1922185016
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1841403508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BUSHAWAY RD",
            "address_2": "SUITE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-475-0225",
            "fax_number": "952-475-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BUSHAWAY RD STE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912079",
            "telephone_number": "952-475-0225",
            "fax_number": "952-475-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKIN",
        "first_name": "BRYAN",
        "middle_name": "NEIL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Jay Lang, D.C.
• Connor Larson
• Deann Marie Larson, C.M.T.
• Diane Mary Larson
• James Jay Larson, DDS
• Elizabeth Lawson, PHARMD
• Valerie Lawson
• Christina Sunkyong Lee, LAC
• Dukhyung Lee, MSW
• Ann Leland

• General Practice Dentistry in Wayzata, MN
• Providers in Wayzata, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.