Individual provider Active NPI

Deborah C Majerus, DDS,MS

  • Endodontics
  • Rochester, MN
National Provider Identifier
1922101005
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D11902 Issued in MN
Practice address
2659 Superior Dr NW
Rochester, MN 55901-8533
Phone
(507) 281-1295
Fax
(507) 529-5589
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8916 CO
Endodontics 1223E0200X D11902 MN Primary

Addresses

Primary practice location

2659 Superior Dr NW
Rochester, MN 55901-8533

Mailing address

2659 Superior Dr NW
Rochester, MN 55901-8533
Phone (507) 281-1295

Other names 1

  • Deborah C Majerus Former name

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
I20111222000571 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345416210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8916COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro Valley Endodontics Endodontics CurrentSince Dec 6, 2020 Accepting new patients
Perfect Teeth - Union & Academy P.C. Past Accepting new patients

Locations

2659 Superior Dr NW
Rochester, MN 55901
Phone (507) 281-1295

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1922101005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 SUPERIOR DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018533",
            "telephone_number": "507-281-1295",
            "fax_number": "719-260-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 SUPERIOR DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018533",
            "telephone_number": "507-281-1295",
            "fax_number": "507-529-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJERUS",
        "first_name": "DEBORAH",
        "middle_name": "C",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "8916",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D11902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MAJERUS",
            "middle_name": "C",
            "credential": "DDS,MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.