DR. KEITH EDWIN ABRAHAMSON D.D.S.
NPI 1609915115
Dentist in Chanhassen, MN

Active since February 05, 2007PECOS Enrolled
436 POND PROMENADE, CHANHASSEN, MN 55317(952) 906-0200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Keith Edwin Abrahamson D.d.s. NPPES

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

DR. KEITH EDWIN ABRAHAMSON D.D.S. (NPI 1609915115) is an individual dentist in Chanhassen, Minnesota, licensed in Minnesota (D10722) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609915115
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEITH EDWIN ABRAHAMSONCredential: D.D.S.
Location Address436 POND PROMENADEChanhassen, MN 55317-0000
Mailing Address2403 Hunter DriveChanhassen, MN 55317
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1609915115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · D10722
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.

436 POND PROMENADE, Chanhassen, MN 55317

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. Keith Edwin Abrahamson 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 55317 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

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

Dentist (General Practice)
436 POND PROMENADE
CHANHASSEN, MN 55317

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609915115, enumerated as an "individual" on February 05, 2007.

The provider is located at 436 POND PROMENADE CHANHASSEN, MN 55317 and the phone number is (952) 906-0200.

Dentist with taxonomy code 122300000X.