KATHERINE M.C. BOLTERMAN D.D.S.
NPI 1265584148
Dentist - General Practice in Coon Rapids, MN

Active since January 18, 2007PECOS Enrolled
3371 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 421-4640(763) 421-0112 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katherine M.c. Bolterman D.d.s. NPPES

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

KATHERINE M.C. BOLTERMAN D.D.S. (NPI 1265584148) is an individual general practice provider in Coon Rapids, Minnesota, licensed in Minnesota (11438) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265584148
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKATHERINE M.C. BOLTERMANCredential: D.D.S.
Location Address3371 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2624
Mailing Address3371 Coon Rapids Blvd NwCoon Rapids, MN 55433-2624 · (763) 421-4640 · Fax (763) 421-0112
Fax(763) 421-0112
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1265584148 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 · 11438
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.

3371 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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)

Katherine M.c. Bolterman 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 55433 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

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

Clinic/Center (Dental)
3371 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

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 Katherine Bolterman's NPI number?

The NPI number for Katherine Bolterman is 1265584148. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Katherine Bolterman located?

Katherine Bolterman practices at 3371 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 421-4640.

What is Katherine Bolterman's specialty?

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

Is Katherine Bolterman enrolled in Medicare?

Yes. Katherine Bolterman is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Bolterman accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Katherine Bolterman 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 Katherine Bolterman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.