TODD ERIC THIERER (NPI# 1851408165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851408165 |
| Entity Type | Individual |
| Full Name | TODD ERIC THIERER |
| Credential | D.D.S. |
| Practice Address |
2500 Como Ave Saint Paul MN 55108 |
| Mailing Address |
8170 33rd Ave S Bloomington MN 55425-4516 |
| Practice Telephone | 6516472525 |
| Practice Fax Number | 6516328984 |
| Mailing Telephone | 9528835151 |
| Mailing Fax Number | 5298835160 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D13000 | MN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
041625-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01354916 | 05 | |
| BLUE SHIELD GROUP NUMBER | 7876 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 Delaware St Se, 8-440b Moos Tower, Minneapolis, MN 554550357 | 6126250653 | 6126254610 |
| Street Address |
2500 COMO AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295050 | Kara Serene Boyko Frandson | Pharmacist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2005-09-14 |
| 1205333275 | David Bryan Polley | Registered Nurse | 2500 Como Ave, Saint Paul, MN 55108 | 2018-04-06 |
| 1578065348 | Crystalyn Morton | Registered Nurse | 2500 Como Ave, Mail Stop 31100a, Saint Paul, MN 55108-1460 | 2018-03-07 |
| 1831610401 | Dema Mohammed | Pharmacist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-07-04 |
| 1225568520 | Lauren Michele Soukup | Optometrist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-06-19 |
| 1174059166 | Elliott Scott Foss | Physician Assistant | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-05-11 |
| 1376081133 | Estella Dennis | Registered Nurse | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-02-01 |
| 1619411808 | Katherine A. Becker | Physician Assistant | 2500 Como Ave, Saint Paul, MN 55108 | 2016-12-07 |
| 1528428398 | Jacquelyn Wright Wagner | Psychologist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2016-03-07 |
| 1821479403 | Karisa Jean Etter | Optometrist | 2500 Como Ave, Saint Paul, MN 55108 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236976 | Kyndra Kae Weber | Dentist | 405 Sibley St Ste 240, Saint Paul, MN 55101-2976 | 2019-07-09 |
| 1376101253 | Sammy Louis Gueringer II | Dentist | 1651 Dale St N, Saint Paul, MN 55117-3414 | 2019-06-05 |
| 1659881944 | Dentists of Highland Park, PC | Dentist | 2096 Ford Pkwy, Saint Paul, MN 55116-1813 | 2017-10-02 |
| 1245750397 | Ryan Daniel Howley | Dentist | 2221 Ford Pkwy Ste 201, Saint Paul, MN 55116-3857 | 2017-06-20 |
| 1134652746 | Shana Bell | Dentist | 1871 Old Hudson Rd Ste 1, Saint Paul, MN 55119-4392 | 2017-04-10 |
| 1316395965 | Lisa Eileen Mcgann | Dentist | 757 Cleveland Ave S Ste 2, Saint Paul, MN 55116-1301 | 2016-05-24 |
| 1851771984 | Kola Xiong | Dentist | 555 Wabasha St N Ste 250, Saint Paul, MN 55102-1673 | 2015-06-03 |
| 1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
| 1871994095 | Anita Xiong | Dentist | 947 County Road D E, Apt 103, Saint Paul, MN 55109-5290 | 2014-09-08 |
| 1336554906 | Ejike Bartholomew Ezeja | Dentist | 1609 Norman Rd Ste B, Aspen Dental, Saint Paul, GA 31601-4201 | 2014-06-23 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on TODD ERIC THIERER.
| 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.