Individual provider

Roger Mondale, D.D S.

General Practice Dentistry Medicare enrolled

Roger Mondale, D.D S. is a provider specialising in General Practice Dentistry in Plymouth, MN, registered under NPI 1023170248. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 10600 OLD COUNTY RD. 15 SUITE 120, Plymouth, MN 55441. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10600 OLD COUNTY RD. 15 SUITE 120, Plymouth, MN 55441 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
D7579 MN General Practice Dentistry primary

This provider holds licence D7579 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Oral Surgery
PAC ID
8022329333

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

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. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1023170248 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 14, 2006
Last updatedDec 16, 2009
StatusActive
Sole proprietorYes
CredentialD.D S.
Practice address 10600 OLD COUNTY RD. 15
SUITE 120
Plymouth, MN 55441
(763) 512-8500
Fax (763) 512-8592
Mailing address 10600 OLD COUNTY RD 15 SUITE 120
Plymouth, MN 55441
Other identifiers 970215600 (MN)
This record was last updated on Dec 16, 2009, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1023170248 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 2 3 1 7 0 2 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 4 3 2 7 0 2 8

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1023170248?
NPI 1023170248 is the National Provider Identifier assigned to Roger Mondale, D.D S. in Plymouth, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
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.
How do I contact Roger Mondale, D.D S.?
The phone number on file with NPPES is (763) 512-8500, last updated Dec 16, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Roger Mondale, D.D S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1023170248 a valid number?
Yes. 1023170248 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.