DR. ELISABETH L DOMMER D.D.S.
NPI 1407134927
Dentist in Minneapolis, MN

Active since August 01, 2011PECOS Enrolled
2701 NICOLLET AVE, MINNEAPOLIS, MN 55408(612) 874-7674(612) 874-1117 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elisabeth L Dommer D.d.s. NPPES

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

DR. ELISABETH L DOMMER D.D.S. (NPI 1407134927) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (D12939) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407134927
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ELISABETH L DOMMERCredential: D.D.S.
Location Address2701 NICOLLET AVEMinneapolis, MN 55408-1631
Mailing Address2701 Nicollet AveMinneapolis, MN 55408-1631 · (612) 874-7674 · Fax (612) 874-1117
Fax(612) 874-1117
Sole ProprietorNo
Enumeration DateAugust 1, 2011
Last NPPES UpdateAugust 26, 2013
NPI 1407134927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MN · D12939 Licensed in WI · 6683-15
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.
2701 NICOLLET AVE, Minneapolis, MN 55408

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. Elisabeth L Dommer 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 55408 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)
2701 NICOLLET AVE
MINNEAPOLIS, MN 55408
Clinic/Center (Dental)
2701 NICOLLET AVE
MINNEAPOLIS, MN 55408
Dentist (General Practice)
2701 NICOLLET AVE
MINNEAPOLIS, MN 55408

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 Elisabeth Dommer's NPI number?

The NPI number for Elisabeth Dommer is 1407134927. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Elisabeth Dommer located?

Elisabeth Dommer practices at 2701 Nicollet Ave, Minneapolis, MN 55408. The listed phone number is (612) 874-7674.

What is Elisabeth Dommer's specialty?

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

Is Elisabeth Dommer enrolled in Medicare?

Yes. Elisabeth Dommer is registered in the Medicare PECOS enrollment system.

What insurance does Elisabeth Dommer 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 Elisabeth Dommer 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 Elisabeth Dommer was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.