Individual provider Active NPI

Donald E. Lareau, D.D.S., M.S.

  • Periodontics
  • Edina, MN
National Provider Identifier
1861575946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D8984 Issued in MN
Practice address
7373 France Ave S Ste 502
Edina, MN 55435-4549
Phone
(952) 830-1311
Fax
(952) 830-0168
NPI assigned
Oct 23, 2006
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
Periodontics 1223P0300X D8984 MN Primary

Addresses

Primary practice location

7373 France Ave S Ste 502
Edina, MN 55435-4549

Mailing address

7373 France Ave S Ste 502
Edina, MN 55435-4549
Phone (952) 830-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 17, 2010 through Jun 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D8984MNMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861575946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 502",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354549",
            "telephone_number": "952-830-1311",
            "fax_number": "952-830-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 502",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354549",
            "telephone_number": "952-830-1311",
            "fax_number": "952-830-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAREAU",
        "first_name": "DONALD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "D8984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.