NATHAN PEDERSEN (NPI# 1841318599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841318599 |
| Entity Type | Individual |
| Full Name | NATHAN PEDERSEN |
| Credential | DDS |
| Practice Address |
802 W 42nd St Hibbing MN 55746 |
| Practice Telephone | 2182638381 |
| Practice Fax Number | 2182638383 |
| Mailing Telephone | 2182638381 |
| Mailing Fax Number | 2182638383 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11949 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN HEALTH CARE PROVIDER | 342163500 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 780S4PE | 01 |
| Street Address |
802 W 42ND ST |
| City | HIBBING |
| State | MN |
| Zip Code | 55746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689937526 | Clarissa Mary Sparkman | Dentist | 802 W 42nd St, Hibbing, MN 55746-3222 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| 1376606657 | Hibbing Dental Service Pa | Dentist | 2005 8th Avenue East, Hibbing, MN 55746 | 2006-12-18 |
| Find all providers in zip 55746 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710006937 | Pamela Perell | Dentist | 411 E Howard St, Hibbing, MN 55746-1711 | 2007-03-28 |
| 1841357373 | William A. Magajna | Dentist | 2005 8th Ave E, Hibbing, MN 55746-1707 | 2007-01-03 |
| 1235291816 | Northland Family Dentistry | Dentist | 2011 3rd Ave E, Hibbing, MN 55746-1731 | 2006-12-13 |
| 1891809224 | John Thomas Zupancic | Dentist | 1515 E 25th St, C-153, Hibbing, MN 55746-3354 | 2006-08-19 |
| 1437162203 | Matt M. Anzelc Dds Pa | Dentist | 3145 7th Ave E, Hibbing, MN 55746-2625 | 2006-08-14 |
| 1528455656 | North Star Dental Care, P.C. | Dentist | 2020 1st Ave, Hibbing, MN 55746-1728 | 2015-04-15 |
| 1760742480 | Jacob Dean Noble | Dentist | 2005 8th Ave E, Hibbing, MN 55746-1707 | 2012-05-29 |
| 1982908315 | David Gunelson Dds | Dentist | 2020 1st Ave, Hibbing, MN 55746-1728 | 2010-12-28 |
| 1891016523 | Jacob Daniel Smestad | Dentist | 2020 1st Ave, Hibbing, MN 55746-1728 | 2010-06-16 |
| 1891948329 | Jacobson Family Dentistry P.C. | Dentist | 704 E Howard St, Hibbing, MN 55746-1744 | 2008-10-28 |
| Find all providers in HIBBING | ||||
Please comment or provide details below to improve the information on NATHAN PEDERSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.