ROBERT VANDER BROEK D.D.S.
NPI 1134532906
Dentist - General Practice in Rochester, MN

Q: What is Robert Vander Broek's NPI number?

The NPI number for Robert Vander Broek is 1134532906. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Q: What is Robert Vander Broek's specialty?

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

Active since June 09, 2014PECOS Enrolled

822 38TH ST NW, ROCHESTER, MN 55901(507) 289-3921(507) 424-2943 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert Vander Broek D.d.s. NPPES

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

ROBERT VANDER BROEK D.D.S. (NPI 1134532906) is an individual general practice provider in Rochester, Minnesota, licensed in Minnesota (D13563) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1134532906

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameROBERT VANDER BROEKCredential: D.D.S.

Location Address822 38TH ST NWRochester, MN 55901-6985

Mailing Address2510 Superior Dr NwRochester, MN 55901-8348 · (507) 289-3921 · Fax (507) 424-2943

Phone(507) 289-3921

Fax(507) 424-2943

Sole ProprietorNo

Enumeration DateJune 9, 2014

Last NPPES UpdateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1134532906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in MN · D13563✔ Licensed in NC · AC5385578-R103

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.

822 38TH ST NW, Rochester, MN 55901

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Secondary Practice Location 1

Location 12056 Superior Dr NWRochester, MN 55901-5024 · Phone (507) 289-3921 · Fax (507) 424-2943

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Vander Broek D.d.s. 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 55901 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 4

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

NORTHWEST DENTAL GROUP

Dentist (General Practice)

822 38TH ST NW
ROCHESTER, MN 55901

Olmsted County (507) 289-3921

MINNESOTA SLEEP DENTISTRY PLLC

Dentist (General Practice)

822 38TH ST NW
ROCHESTER, MN 55901

Olmsted County (507) 361-0437

DR. POOJA NILESH LINESWALA DDS, MPH

Dentist (General Practice)

822 38TH ST NW
ROCHESTER, MN 55901

Olmsted County (507) 203-2332

NORTHWEST DENTAL GROUP

Dentist (General Practice)

822 38TH ST NW
ROCHESTER, MN 55901

Olmsted County (507) 289-3921

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 Robert Vander Broek's NPI number?

The NPI number for Robert Vander Broek is 1134532906. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Robert Vander Broek located?

Robert Vander Broek practices at 822 38th St NW, Rochester, MN 55901. The listed phone number is (507) 289-3921.

What is Robert Vander Broek's specialty?

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

Is Robert Vander Broek enrolled in Medicare?

Yes. Robert Vander Broek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Vander Broek was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.