DR. RICHARD D DEVORAK DDS
NPI 1982765319
Dentist - General Practice in Duluth, MN

Q: What is Richard Devorak's NPI number?

The NPI number for Richard Devorak is 1982765319. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Richard Devorak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Devorak was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 12, 2006PECOS Enrolled

4325 GRAND AVE, DULUTH, MN 55807(218) 628-7035(218) 624-6594 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2021, Nov 5, 2020 (2 updates tracked since 2020).

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About Dr. Richard D Devorak Dds NPPES

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

DR. RICHARD D DEVORAK DDS (NPI 1982765319) is an individual general practice provider in Duluth, Minnesota, licensed in Minnesota (D10709) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Carlton.

NPPES Registry Identity

NPI1982765319

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RICHARD D DEVORAKCredential: DDS

Location Address4325 GRAND AVEDuluth, MN 55807-2730

Mailing Address2222 E 5th StSuperior, WI 54880-3709 · (715) 392-1955 · Fax (715) 392-1935

Phone(218) 628-7035

Fax(218) 624-6594

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2024

✔ NPI 1982765319 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 · D10709

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.

4325 GRAND AVE, Duluth, MN 55807

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Secondary Practice Location 1

Location 1210 3rd StCarlton, MN 55718-7703 · Phone (218) 336-3524 · Fax (218) 384-9002

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. Richard D Devorak 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 55807 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 20

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

MADHURI BASAK RNC

Registered Nurse (Ambulatory Care)