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

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.

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
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

Other Names 1

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

Accepted 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.

Clinic/Center (Primary Care)
2810 17TH AVE S
GRAND FORKS, ND 58201
Obstetrics & Gynecology
2810 17TH AVE S
GRAND FORKS, ND 58201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629239637, enumerated as an "individual" on June 23, 2008.

The provider is located at 2810 17TH AVE S GRAND FORKS, ND 58201 and the phone number is (701) 775-0641.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.