DR. AMANDA LOUISE BONN VESTERSO
NPI 1629239637
Dentist - General Practice in Grand Forks, ND

Q: What is Amanda Vesterso's NPI number?

The NPI number for Amanda Vesterso is 1629239637. It was assigned to this individual provider in the NPPES registry on June 23, 2008. The provider is also known as Amanda Louise Bonn D. D. S..

Q: What is Amanda Vesterso's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Vesterso was last updated on June 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2008PECOS Enrolled

2810 17TH AVE S, GRAND FORKS, ND 58201(701) 775-0641(701) 746-9328 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Amanda Louise Bonn Vesterso NPPES

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

DR. AMANDA LOUISE BONN VESTERSO (NPI 1629239637) is an individual general practice provider in Grand Forks, North Dakota, licensed in North Dakota (2037) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629239637

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. AMANDA LOUISE BONN VESTERSO

Location Address2810 17TH AVE SGrand Forks, ND 58201-4010

Mailing Address2810 17th Ave SGrand Forks, ND 58201-4010 · (701) 775-0641 · Fax (701) 746-9328

Phone(701) 775-0641

Fax(701) 746-9328

Sole ProprietorNo

Enumeration DateJune 23, 2008

✔ NPI 1629239637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ND · 2037

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.

2810 17TH AVE S, Grand Forks, ND 58201

Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Louise Bonn D. D. S.

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. Amanda Louise Bonn Vesterso 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 58201 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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 2

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

NORTHERN VALLEY OBSTETRICS & GYNECOLOGY, P.C.

Clinic/Center (Primary Care)

2810 17TH AVE S
GRAND FORKS, ND 58201

Grand Forks County (701) 738-2004

RORY DWAIN TROTTIER M.D.

Obstetrics & Gynecology

2810 17TH AVE S
GRAND FORKS, ND 58201

Grand Forks County (701) 738-2004

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 Amanda Vesterso's NPI number?

The NPI number for Amanda Vesterso is 1629239637. It was assigned to this individual provider in the NPPES registry on June 23, 2008. The provider is also known as Amanda Louise Bonn D. D. S..

Where is Amanda Vesterso located?

Amanda Vesterso practices at 2810 17th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 775-0641.

What is Amanda Vesterso's specialty?

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

Is Amanda Vesterso enrolled in Medicare?

Yes. Amanda Vesterso is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Vesterso accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Minnesota and 1 other insurer list Amanda Vesterso 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 Amanda Vesterso was last updated on June 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.