DR. WHITNEY CHRISTINE HUSTAD DAVIDSON DDS
NPI 1720165905
Dentist - General Practice in Duluth, MN

Active since November 01, 2006Opted out of Medicare · through Jan 30, 2027
906 WOODLAND AVE, DULUTH, MN 55812(218) 606-1040(218) 606-1060 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Whitney Christine Hustad Davidson Dds NPPES

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

DR. WHITNEY CHRISTINE HUSTAD DAVIDSON DDS (NPI 1720165905) is an individual general practice provider in Duluth, Minnesota, licensed in Minnesota (12242) and active in the NPI registry since November 2006. She has opted out of Medicare through January 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720165905
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WHITNEY CHRISTINE HUSTAD DAVIDSONCredential: DDS
Location Address906 WOODLAND AVEDuluth, MN 55812-1113
Mailing Address906 Woodland AveDuluth, MN 55812-1113 · (218) 606-1040 · Fax (218) 606-1060
Fax(218) 606-1060
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 12, 2016
NPI 1720165905 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 · 12242
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.
906 WOODLAND AVE, Duluth, MN 55812

Other Names 1

Former Name (1)Dr. Whitney Christine Hustad Dds

Other Identifiers 5

Other1858670MN · United Concordia
OtherHP65362MN · Health Partners
Medicaid276999900MN
Other904481047559MN · Preferred One
Other97G02HUMN · Bcbsmn

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Whitney Christine Hustad Davidson Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2017 through January 30, 2027.

Opt-Out Effective DateJanuary 30, 2017
Opt-Out In Effect ThroughJanuary 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55812 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

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

Clinic/Center (Dental)
906 WOODLAND AVE
DULUTH, MN 55812

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 Whitney Hustad Davidson's NPI number?

The NPI number for Whitney Hustad Davidson is 1720165905. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. Whitney Christine Hustad Dds.

Where is Whitney Hustad Davidson located?

Whitney Hustad Davidson practices at 906 Woodland Ave, Duluth, MN 55812. The listed phone number is (218) 606-1040.

What is Whitney Hustad Davidson's specialty?

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

Is Whitney Hustad Davidson enrolled in Medicare?

No. Whitney Hustad Davidson has opted out of Medicare through January 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Whitney Hustad Davidson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Whitney Hustad Davidson 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 Whitney Hustad Davidson was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.