Elizabeth Rydell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D10626 Issued in MN

Practice address

1121 Town Centre Dr
Suite #200
Eagan, MN 55123-1199

Phone

(651) 454-4771

Fax

(651) 406-9298

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Metro Dentalcare, PLC

  • Dentist
  • Lakeville, MN
  • NPI 1316913411
  NPD (past)
• Modern Dental Professionals Minnesota PC

  dba Midwest Dental

  • General Practice Dentistry
  • Eagan, MN
  • NPI 1255639696
  NPD (past)
• Smile Design Family Dentistry

  • Dentist
  • Eagan, MN
  • NPI 1437369105
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1942266432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23029",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-861-9123",
            "fax_number": "612-861-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 TOWN CENTRE DR",
            "address_2": "SUITE #200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231199",
            "telephone_number": "651-454-4771",
            "fax_number": "651-406-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDELL",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell N Osnes OD & Associates PA (Yankee Eye Clinic)
• Katie Rutkowski, LMP
• Lisa Joy Rutman, MSW, LICSW
• John Bernard Ryan
• Nathan Richard Ryan, PT
• Sabi Services Company
• Fowsa Sabtow
• Jeffrey Sachs, M.D.
• Sacred Spiral Resources LLC (Nancy N. Cohen)
• Danielle Sadler, L.AC., DIPL. O.M.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.