Patrick Ennen, DDS
Patrick Ennen, DDS is a provider specialising in Periodontics in Coon Rapids, MN, registered under NPI 1710944988. 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 3960 COON RAPIDS BLVD NW SUITE 213, Coon Rapids, MN 55433. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 7668 | MN | Periodontics primary |
This provider holds licence 7668 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Oral Surgery
- PAC ID
- 2769666056
- Enrollment ID
- I20160302001189
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Periodontics covers
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. NUCC Health Care Provider Taxonomy, code 1223P0300X
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.
| NPI | 1710944988 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 29, 2006 |
| Last updated | Jul 8, 2007 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | DDS |
| Practice address |
3960 COON RAPIDS BLVD NW SUITE 213 Coon Rapids, MN 55433 (763) 427-4912 Fax (763) 427-0771 |
Number check
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 | 7 | 1 | 0 | 9 | 4 | 4 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 2 | 0 | 9 | 4 | 8 | 9 | 7 |
Sum = 72 · next multiple of 10 = 80 · 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.