1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Dentist
  6. NPI Profile

DR. BRIAN SCOTT FULLER D.D.S.
NPI 1760674725
Dentist in Minneapolis, MN

Active since August 14, 2007PECOS Enrolled
1920 S 1ST ST, 1509, MINNEAPOLIS, MN 55454(612) 270-0885 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Scott Fuller D.d.s. NPPES

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

DR. BRIAN SCOTT FULLER D.D.S. (NPI 1760674725) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (D12089) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760674725
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRIAN SCOTT FULLERCredential: D.D.S.
Location Address1920 S 1ST ST, 1509Minneapolis, MN 55454-1055
Mailing Address1920 S 1st St, 1509Minneapolis, MN 55454-1055 · (612) 270-0885
Phone(612) 270-0885
Sole ProprietorYes
Enumeration DateAugust 14, 2007
✔ NPI 1760674725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MN · D12089✔ Licensed in MT · 2199
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.
1920 S 1ST ST, Minneapolis, MN 55454
Open in Google Maps ↗

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. Brian Scott Fuller 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 55454 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.

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 Brian Fuller's NPI number?

The NPI number for Brian Fuller is 1760674725. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Brian Fuller located?

Brian Fuller practices at 1920 S 1st St 1509, Minneapolis, MN 55454. The listed phone number is (612) 270-0885.

What is Brian Fuller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brian Fuller enrolled in Medicare?

Yes. Brian Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Fuller was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.