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DR. STEPHANIE DRAKE D.D.S.
NPI 1992153928
Dentist in Long Lake, MN

Active since May 31, 2016PECOS Enrolled
1880 W WAYZATA BLVD, LONG LAKE, MN 55356(952) 475-0989 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephanie Drake D.d.s. NPPES

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

DR. STEPHANIE DRAKE D.D.S. (NPI 1992153928) is an individual dentist in Long Lake, Minnesota, licensed in Minnesota (D13701) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1992153928
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. STEPHANIE DRAKECredential: D.D.S.
Location Address1880 W WAYZATA BLVDLong Lake, MN 55356-9491
Mailing Address1880 W Wayzata BlvdLong Lake, MN 55356-9491 · (952) 475-0989 · Fax (218) 326-9502
Phone(952) 475-0989
Sole ProprietorNo
Enumeration DateMay 31, 2016
Last NPPES UpdateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1992153928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13701
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.
1880 W WAYZATA BLVD, Long Lake, MN 55356
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Secondary Practice Location 1

Location 1510 NW 2nd AveGrand Rapids, MN 55744-2627 · Phone (218) 326-1266 · Fax (218) 326-9502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Dr. Stephanie Drake 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 55356 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 2

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

ANTHONY WALTER BOE DDS
Dentist (General Practice)
1880 W WAYZATA BLVD
LONG LAKE, MN 55356
Hennepin County (952) 475-0989
WATER'S EDGE DENTAL
Clinic/Center (Dental)
1880 W WAYZATA BLVD
LONG LAKE, MN 55356
Hennepin County (952) 475-0989

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 Stephanie Drake's NPI number?

The NPI number for Stephanie Drake is 1992153928. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Stephanie Drake located?

Stephanie Drake practices at 1880 W Wayzata Blvd, Long Lake, MN 55356. The listed phone number is (952) 475-0989.

What is Stephanie Drake's specialty?

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

Is Stephanie Drake enrolled in Medicare?

Yes. Stephanie Drake is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Drake accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Stephanie Drake 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 Stephanie Drake was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.