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

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: October 25, 2026.

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, maintains a secondary practice location in Rochester, and is a graduate of University Of Michigan School Of Dentistry (2014).

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
Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2014
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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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).

PECOS PAC ID4082917828
PECOS Enrollment IDI20260803003355
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Vander Broek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minnesota Sleep Dentistry PLLC
Same address
General Practice
822 38TH ST NW
Rochester, MN 55901
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1316838063 (507) 361-0437

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Robert Vander Broek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Vander Broek reassigns Medicare benefits to Minnesota Sleep Dentistry PLLC (Rochester, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Vander Broek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 13 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.