DR. DAWN MARIE STAVISH DDS
NPI 1528063955
Dentist in Mankato, MN

Q: What is Dawn Stavish's NPI number?

The NPI number for Dawn Stavish is 1528063955. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Dawn Stavish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dawn Stavish was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 13, 2005PECOS Enrolled

309 HOLLY LN, MANKATO, MN 56001(507) 388-2120 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2022, Jan 29, 2019 (2 updates tracked since 2019).

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About Dr. Dawn Marie Stavish Dds NPPES

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

DR. DAWN MARIE STAVISH DDS (NPI 1528063955) is an individual dentist in Mankato, Minnesota, licensed in Minnesota (D13185) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528063955

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. DAWN MARIE STAVISHCredential: DDS

Location Address309 HOLLY LNMankato, MN 56001-5422

Mailing Address309 Holly LnMankato, MN 56001-5422 · (507) 388-2120

Phone(507) 388-2120

Sole ProprietorNo

Enumeration DateJune 13, 2005

Last NPPES UpdateApril 8, 20222 updates tracked since enumeration

NPPES CertifiedApril 8, 2022

✔ NPI 1528063955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D13185

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.

309 HOLLY LN, Mankato, MN 56001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Dawn Marie Stavish 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 56001 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.

GRACE CHALGREN DDS

Dentist