1. Home
  2. Directory
  3. Minnesota
  4. Baxter
  5. Dentist
  6. NPI Profile

JUSTIN JAMES GANGESTAD DDS
NPI 1477905990
Dentist - General Practice in Baxter, MN

Active since July 08, 2016PECOS Enrolled
13442 ELMWOOD DR, BAXTER, MN 56425(218) 829-4207 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin James Gangestad Dds NPPES

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

JUSTIN JAMES GANGESTAD DDS (NPI 1477905990) is an individual general practice provider in Baxter, Minnesota, licensed in Minnesota (D13729) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477905990
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJUSTIN JAMES GANGESTADCredential: DDS
Location Address13442 ELMWOOD DRBaxter, MN 56425-8400
Mailing Address4940 Circle Pines RdBaxter, MN 56425-9501 · (218) 851-8108
Phone(218) 829-4207
Sole ProprietorNo
Enumeration DateJuly 8, 2016
✔ NPI 1477905990 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 · D13729
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.

13442 ELMWOOD DR, Baxter, MN 56425
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin James Gangestad Dds 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 56425 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.

BAXTER DENTAL
Clinic/Center (Dental)
13442 ELMWOOD DR
BAXTER, MN 56425
Crow Wing County (218) 829-4207
DR. SCOTT DAVID TIMMONS D.D.S.
Dentist (General Practice)
13442 ELMWOOD DR
BAXTER, MN 56425
Crow Wing County (218) 829-4207
BAXTER DENTAL PLLC
Clinic/Center (Dental)
13442 ELMWOOD DR
BAXTER, MN 56425
Crow Wing County (218) 829-4207

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 Justin Gangestad's NPI number?

The NPI number for Justin Gangestad is 1477905990. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Justin Gangestad located?

Justin Gangestad practices at 13442 Elmwood Dr, Baxter, MN 56425. The listed phone number is (218) 829-4207.

What is Justin Gangestad's specialty?

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

Is Justin Gangestad enrolled in Medicare?

Yes. Justin Gangestad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Gangestad was last updated on July 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.