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DR. VICKI LYNN RAITOR D.D.S.
NPI 1316047087
Dentist in Woodbury, MN

Active since September 23, 2006PECOS Enrolled
1789 WOODLANE DR, SUITE# D, WOODBURY, MN 55125(651) 738-1284(651) 738-0072 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Vicki Lynn Raitor D.d.s. NPPES

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

DR. VICKI LYNN RAITOR D.D.S. (NPI 1316047087) is an individual dentist in Woodbury, Minnesota, licensed in Minnesota (D10306) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316047087
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. VICKI LYNN RAITORCredential: D.D.S.
Location Address1789 WOODLANE DR, SUITE# DWoodbury, MN 55125-3910
Mailing Address1789 Woodlane Dr, Ste DWoodbury, MN 55125-3910 · (651) 738-1284
Phone(651) 738-1284
Fax(651) 738-0072
Sole ProprietorNo
Enumeration DateSeptember 23, 2006
Last NPPES UpdateFebruary 24, 2016
✔ NPI 1316047087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D10306
Definition
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.
1789 WOODLANE DR, Woodbury, MN 55125
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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. Vicki Lynn Raitor 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 55125 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 20

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

MS. SARA ELIZABETH BELL
Dental Assistant
1789 WOODLANE DR, SUITE D
WOODBURY, MN 55125
Washington County (651) 738-1284
MOLLY THERESE VERHELST
Dental Hygienist
1789 WOODLANE DR, SUITE D
WOODBURY, MN 55125
Washington County (651) 738-1284
MISS MELISSA RAYE HARRINGTON RDA
Dental Assistant
1789 WOODLANE DR, SUITE #D
WOODBURY, MN 55125
Washington County (651) 738-1284
JACQUELINE LEE KIMBER RDH
Dental Hygienist
1789 WOODLANE DR, SUITE D
WOODBURY, MN 55125
Washington County (651) 738-1284
NICOLE A. GRESCZYK CRDA/RDA
Dental Assistant
1789 WOODLANE DR, #D
WOODBURY, MN 55125
Washington County (651) 738-1284
WOODGROVE DENTAL PA
Dentist (General Practice)
1789 WOODLANE DR, SUITE D
WOODBURY, MN 55125
Washington County (651) 738-1284
MRS. LEANN CAROLL BAIN RDA
Dental Assistant
1789 WOODLANE DR, SUITE D
WOODBURY, MN 55125
Washington County (651) 738-1284
ANGELA NICOLE LIPINSKI RDA
Dental Assistant
1789 WOODLANE DR
WOODBURY, MN 55125
Washington County (651) 738-1284

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 Vicki Raitor's NPI number?

The NPI number for Vicki Raitor is 1316047087. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Vicki Raitor located?

Vicki Raitor practices at 1789 Woodlane Dr Suite# D, Woodbury, MN 55125. The listed phone number is (651) 738-1284.

What is Vicki Raitor's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Vicki Raitor enrolled in Medicare?

Yes. Vicki Raitor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vicki Raitor was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.