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LONG THAO D.D.S.
NPI 1457765349
Dentist in Minneapolis, MN

Active since June 18, 2014PECOS Enrolled
4243 4TH AVE S, MINNEAPOLIS, MN 55409(612) 822-9030 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Long Thao D.d.s. NPPES

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

LONG THAO D.D.S. (NPI 1457765349) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (D13413) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457765349
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLONG THAOCredential: D.D.S.
Location Address4243 4TH AVE SMinneapolis, MN 55409-2113
Mailing Address4243 4th Ave SMinneapolis, MN 55409-2113 · (612) 822-9030
Phone(612) 822-9030
Sole ProprietorNo
Enumeration DateJune 18, 2014
✔ NPI 1457765349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13413
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.
4243 4TH AVE S, Minneapolis, MN 55409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arkansas, Humana, Renaissance Dental.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)

Long Thao 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 55409 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 18

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

CHERYL ROMANA DDS
Dentist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. MARK T MCDERMOTT OD
Optometrist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 821-2003
DR. MARY LOUISE TRUCHON CRACKEL D.D.S.
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
GAURANG BHARATKUMAR BHATT DDS
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
VIA MARITH NESS RDH
Dental Hygienist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. NICOLETA TEREZIA AGRIGOROAE BOLOS DDS
Dentist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. MARIA KATALINA ZUNIGA-BRENES DDS
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
JONEE ELIZABETH MEAGHER O.D.
Optometrist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 821-2003

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 Long Thao's NPI number?

The NPI number for Long Thao is 1457765349. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Long Thao located?

Long Thao practices at 4243 4th Ave S, Minneapolis, MN 55409. The listed phone number is (612) 822-9030.

What is Long Thao's specialty?

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

Is Long Thao enrolled in Medicare?

Yes. Long Thao is registered in the Medicare PECOS enrollment system.

What insurance does Long Thao accept?

Health plans from Delta Dental of Arkansas, Humana and Renaissance Dental list Long Thao 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 Long Thao was last updated on June 18, 2014. 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.