DR. MATTHEW PATRICK DALE DDS
NPI 1003028861
Dentist - General Practice in Rogers, MN

Active since May 04, 2007PECOS Enrolled
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374(763) 428-2217(763) 428-8586 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Patrick Dale Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW PATRICK DALE DDS (NPI 1003028861) is an individual general practice provider in Rogers, Minnesota, licensed in Minnesota (D10980) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003028861
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW PATRICK DALECredential: DDS
Location Address21410 136TH AVE NORTH SUITE #109Rogers, MN 55374
Mailing Address21410 136th Ave North Suite #109Rogers, MN 55374 · (763) 428-2217 · Fax (763) 428-8586
Fax(763) 428-8586
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 3, 2019
NPI 1003028861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D10980
Definition
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.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Matthew Patrick Dale Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
21410 136TH AVE NORTH SUITE #109
ROGERS, MN 55374
Dentist
21410 136TH AVE NORTH SUITE #109
ROGERS, MN 55374
Dentist
21410 136TH AVE NORTH SUITE #109
ROGERS, MN 55374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Dale's NPI number?

The NPI number for Matthew Dale is 1003028861. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Matthew Dale located?

Matthew Dale practices at 21410 136th Ave North Suite #109, Rogers, MN 55374. The listed phone number is (763) 428-2217.

What is Matthew Dale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Matthew Dale enrolled in Medicare?

Yes. Matthew Dale is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Dale accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Matthew Dale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Dale was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.