Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PATRICK JOSEPH ENNEN DDS
NPI 1710944988
Dentist - Periodontics in Coon Rapids, MN

Q: What is Patrick Ennen's NPI number?

The NPI number for Patrick Ennen is 1710944988. It was assigned to this individual provider in the NPPES registry on April 29, 2006.

Q: What is Patrick Ennen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Ennen was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2006PECOS Enrolled

3960 COON RAPIDS BLVD NW, SUITE 213, COON RAPIDS, MN 55433(763) 427-4912(763) 427-0771 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Patrick Joseph Ennen Dds NPPES

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

DR. PATRICK JOSEPH ENNEN DDS (NPI 1710944988) is an individual periodontics provider in Coon Rapids, Minnesota, licensed in Minnesota (7668) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710944988

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. PATRICK JOSEPH ENNENCredential: DDS

Location Address3960 COON RAPIDS BLVD NW, SUITE 213Coon Rapids, MN 55433-2569

Mailing Address3960 Coon Rapids Blvd Nw, Suite 213Coon Rapids, MN 55433-2569 · (763) 427-4912 · Fax (763) 427-0771

Phone(763) 427-4912

Fax(763) 427-0771

Sole ProprietorNo

Enumeration DateApril 29, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1710944988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · 7668

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3960 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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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. Patrick Joseph Ennen 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 55433 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.

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