Individual provider Active NPI

Barry Donald Gerst, D.D.S.

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1851330054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7880 Issued in MN
Practice address
2701 Nicollet Ave
Minneapolis, MN 55408-1631
Phone
(612) 874-7674
Fax
(612) 874-1117
NPI assigned
Jun 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7880 MN Primary

Addresses

Primary practice location

2701 Nicollet Ave
Minneapolis, MN 55408-1631

Mailing address

3909 W 48TH St
Edina, MN 55424-1216
Phone (952) 922-5151

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000635 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466694724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7880MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barry D Gerst DDS PA General Practice Past Accepting new patients
Nicollet Avenue Dental, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851330054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 W 48TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241216",
            "telephone_number": "952-922-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081631",
            "telephone_number": "612-874-7674",
            "fax_number": "612-874-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERST",
        "first_name": "BARRY",
        "middle_name": "DONALD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.