DR. ERIK ANDERS ENGELBREKTSON (NPI# 1558793521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558793521 |
| Entity Type | Individual |
| Full Name | DR. ERIK ANDERS ENGELBREKTSON |
| Credential | DMD |
| Practice Address |
2165 White Bear Ave N Maplewood MN 55109 |
| Mailing Address |
2165 White Bear Ave N Maplewood MN 55109-2707 |
| Practice Telephone | 6515239900 |
| Mailing Telephone | 6515239900 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D13925 | MN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | DEN.00202041 | CO | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34800 Bob Wilson Dr, San Diego, CA 921341098 | 6175328600 |
| Street Address |
2165 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714455 | Byron J Marquez | Family Medicine | 2165 White Bear Ave N, Maplewood, MN 55109 | 2006-03-20 |
| 1205311156 | Jessica Anne Lemker | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-26 |
| 1962986927 | Group Health Plan, Inc | Clinic/Center | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-17 |
| 1023557352 | Jennifer Novak | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2017-02-20 |
| 1659822146 | Group Health Plan, Inc | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-10-19 |
| 1346797404 | Sheri Michelle Madison | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-09-07 |
| 1528417490 | Andrea Brekke | Social Worker | 2165 White Bear Ave N, Maplewood, MN 55109 | 2016-06-10 |
| 1447628086 | Gina Shults | Physician Assistant | 2165 White Bear Ave N, Maplewood, MN 55109 | 2015-09-14 |
| 1619377835 | Ashley Elizabeth Diamond | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-08-25 |
| 1164836821 | Elizabeth Placzek | Pediatrics | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559016 | Andrew Frederick Peterson | Dentist | 1670 Beam Ave Ste 202, Maplewood, MN 55109-1225 | 2018-12-11 |
| 1356869762 | Contagious Smile LLC | Dentist | 1955 Springfield Ave Ste 1, Maplewood, NJ 07040-3441 | 2017-09-06 |
| 1437496098 | Maplewood Pediatric Dentistry Pllc | Dentist | 1915 County Road D E, Maplewood, MN 55109-5309 | 2013-01-15 |
| 1588894067 | Nicholas M Weinand | Dentist | 1670 Beam Ave Ste 204, Maplewood, MN 55109-1227 | 2009-07-20 |
| 1750558169 | Deborah Z. Rosenberg | Dentist | 2075 Millburn Ave, Maplewood, NJ 07040-3717 | 2008-05-14 |
| 1659548261 | Alexander Andreyeff | Dentist | 1630 Springfield Ave, Alexander Andreyeff Dds Dental Office, Maplewood, NJ 07040 | 2008-05-13 |
| 1164564753 | Lynda K Bangtson | Dentist | 1055 Highway 36 East, Maplewood, MN 55109 | 2007-02-12 |
| 1083761449 | Derrick John Veneman | Dentist | 1774 Cope Ave E Ste 110, Maplewood, MN 55109-2663 | 2007-01-05 |
| 1508933813 | Bernard Michael Manthei | Dentist | 1814 No St Paul Road, Maplewood Medical and Professional Bldg, Maplewood, MN 55109-4796 | 2006-11-29 |
| 1295822591 | Michael Jonathon Splett | Dentist | 1736 East Cope Ave, Maplewood, MN 55109-2610 | 2006-10-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.