JUSTIN MIKESELL DDS
NPI 1831684539
Dentist in Minneapolis, MN

Q: What is Justin Mikesell's NPI number?

The NPI number for Justin Mikesell is 1831684539. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Justin Mikesell'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 Justin Mikesell was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 25, 2018PECOS Enrolled

1315 E 24TH ST STE 1, MINNEAPOLIS, MN 55404(612) 721-9800(612) 721-7870 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Jun 25, 2018 (2 updates tracked since 2018).

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About Justin Mikesell Dds NPPES

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

JUSTIN MIKESELL DDS (NPI 1831684539) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (D14826) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831684539

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJUSTIN MIKESELLCredential: DDS

Location Address1315 E 24TH ST STE 1Minneapolis, MN 55404-3959

Mailing Address1315 E 24th St Ste 1Minneapolis, MN 55404-3959 · (612) 721-9800 · Fax (612) 721-7870

Phone(612) 721-9800

Fax(612) 721-7870

Sole ProprietorYes

Enumeration DateJune 25, 2018

Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1831684539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D14826

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 DS041719 (PA)

1315 E 24TH ST STE 1, Minneapolis, MN 55404

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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 Montana 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)

Justin Mikesell 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 55404 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 7

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

DAGMAR MAYER LCSW

Social Worker (Clinical)