Individual provider Active NPI

Vivian G. Cuevas, D.D.S.

  • General Practice Dentistry
  • Red Wing, MN
National Provider Identifier
1982872578
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10678 Issued in MN
Practice address
327 Bush St
Red Wing, MN 55066-2527
Phone
(651) 385-9348
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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 D10678 MN Primary

Addresses

Primary practice location

327 Bush St
Red Wing, MN 55066-2527

Mailing address

327 Bush St
Red Wing, MN 55066-2527
Phone (651) 385-9348

Other practice location 1

307 N 2nd St
Goodhue, MN 55027-5502
Phone (651) 923-4400

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
I20160104002058 MN Order and Referring Only - DentistPractitioner - Dentist 8325340649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goodhue Family Dental Practice Past Accepting new patients

Organizations & group practices 1

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1982872578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662527",
            "telephone_number": "651-385-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662527",
            "telephone_number": "651-385-9348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Goodhue",
            "state": "MN",
            "postal_code": "550275502",
            "country_code": "US",
            "telephone_number": "651-923-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "VIVIAN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

Verify at the official NPI Registry.