DR. JAIME BETH WALLER DDS
NPI 1639482474
Dentist in Deerwood, MN

Q: What is Jaime Waller's NPI number?

The NPI number for Jaime Waller is 1639482474. It was assigned to this individual provider in the NPPES registry on July 21, 2010. The provider is also known as Jaime Beth Wiebusch.

Q: What is Jaime Waller'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 Jaime Waller was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 21, 2010PECOS Enrolled

21343 ARCHIBALD ROAD, DEERWOOD, MN 56444(218) 534-3141(218) 534-3949 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Jaime Beth Waller Dds NPPES

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

DR. JAIME BETH WALLER DDS (NPI 1639482474) is an individual dentist in Deerwood, Minnesota, licensed in Minnesota (D12840) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639482474

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JAIME BETH WALLERCredential: DDS

Location Address21343 ARCHIBALD ROADDeerwood, MN 56444

Mailing AddressPo Box 385Deerwood, MN 56444 · (218) 534-3141 · Fax (218) 534-3949

Phone(218) 534-3141

Fax(218) 534-3949

Sole ProprietorNo

Enumeration DateJuly 21, 2010

Last NPPES UpdateApril 19, 2019

✔ NPI 1639482474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D12840

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D12840 (MN)

21343 ARCHIBALD ROAD, Deerwood, MN 56444

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Other Names 1

Former Name (1)Jaime Beth Wiebusch

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Jaime Beth Waller 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 56444 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 6

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

NORTHLAND SMILES CORPORATION PA

Clinic/Center