UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC
NPI 1992075287
Dentist in Minneapolis, MN
About University Of Minnesota Pediatric Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC (NPI 1992075287) is a healthcare organization registered as a dentist in Minneapolis, Minnesota and active in the NPI registry since January 2012. The organization lists Mary A Johnson, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
University Of Minnesota Pediatric Dental Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,449Medicare enrollment records show 1,449 clinicians reassign Medicare billing to University Of Minnesota Pediatric Dental Clinic, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 1,205 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 62
Nearest to this location (20)
See all 1,449Minneapolis, MN 55454
Minneapolis, MN 55454
Minneapolis, MN 55454
Minneapolis, MN 55454
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 University Of Minnesota Pediatric Dental Clinic's NPI number?
The NPI number for University Of Minnesota Pediatric Dental Clinic is 1992075287. It was assigned to this organization in the NPPES registry on January 4, 2012.
Where is University Of Minnesota Pediatric Dental Clinic located?
University Of Minnesota Pediatric Dental Clinic is located at 701 25th Ave S Suite 400, Minneapolis, MN 55454. The listed phone number is (651) 659-4900.
What is University Of Minnesota Pediatric Dental Clinic's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is University Of Minnesota Pediatric Dental Clinic enrolled in Medicare?
Yes. University Of Minnesota Pediatric Dental Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through University Of Minnesota Pediatric Dental Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,449 clinicians in 62 Medicare specialties reassign their Medicare billing to University Of Minnesota Pediatric Dental Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (249), Nurse Practitioner (148) and Pediatric Medicine (144). Of these, 7 practice at this address and 1,205 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for University Of Minnesota Pediatric Dental Clinic was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# University Of Minnesota Pediatric Dental Clinic · NPI 1992075287
Dentist organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since January 4, 2012.
## Identity
- **NPI:** 1992075287 (Entity type: Organization)
- **Enumerated:** January 4, 2012
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Organization subpart:** Yes (part of Umphysicians)
- **Authorized official:** Mary Johnson, COO
## Practice location
- **Address:** 701 25TH AVE S, SUITE 400, Minneapolis, MN 55454-1513
- **Phone:** (651) 659-4900 · **Fax:** (651) 659-4901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,449 clinicians in 62 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (249), Nurse Practitioner (148), Pediatric Medicine (144); 7 practice at this address and 1,205 within 10 miles; [full list](https://npiprofile.com/npi/1992075287/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1992075287) · Data from the CMS NPPES public registry.