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JOHN DAVID MITTELSTEADT D.D.S.
NPI 1649371063
Dentist - General Practice in Eagan, MN

Active since September 26, 2006PECOS Enrolled

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John David Mittelsteadt D.d.s. NPPES

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

JOHN DAVID MITTELSTEADT D.D.S. (NPI 1649371063) is an individual general practice provider in Eagan, Minnesota, licensed in Minnesota (09922) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649371063
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN DAVID MITTELSTEADTCredential: D.D.S.
Location Address4555 ERIN DREagan, MN 55122-3398
Mailing Address4555 Erin DrEagan, MN 55122-3398 · (651) 681-9044
Phone(651) 681-9044
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649371063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 09922
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.
4555 ERIN DR, Eagan, MN 55122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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)

John David Mittelsteadt 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 55122 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 8

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

NANCY NUTTING COHEN LAMFT
Marriage & Family Therapist
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
MS. LYNDALL JOHNSON MA LP
Psychologist
4555 ERIN DR, #260
EAGAN, MN 55122
Dakota County (651) 686-8818
DR. LINDA S. RAASCH ED.D., L.P.
Psychologist
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
ASLAN INSTITUTE
Psychologist
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
DR. COLIN HOLLIDGE PHD LISCW
Social Worker
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
DR. JOHN ROBERT PETERSEN DDS
Dentist (General Practice)
4555 ERIN DR
EAGAN, MN 55122
Dakota County (651) 681-9044
BRANDON MANNIE D.C. LLC
Chiropractor
4555 ERIN DR, 210
EAGAN, MN 55122
Dakota County (651) 452-2225
EAGAN VALLEY DENTAL CENTER P.A.
Dentist
4555 ERIN DR
EAGAN, MN 55122
Dakota County (651) 681-9044

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 John Mittelsteadt's NPI number?

The NPI number for John Mittelsteadt is 1649371063. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is John Mittelsteadt located?

John Mittelsteadt practices at 4555 Erin Dr, Eagan, MN 55122. The listed phone number is (651) 681-9044.

What is John Mittelsteadt's specialty?

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

Is John Mittelsteadt enrolled in Medicare?

Yes. John Mittelsteadt is registered in the Medicare PECOS enrollment system.

What insurance does John Mittelsteadt accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list John Mittelsteadt 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 John Mittelsteadt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.