Individual provider

Matthew Lorson, D.D.S.

Periodontics Medicare enrolled

Matthew Lorson, D.D.S. is a provider specialising in Periodontics in White Bear Lake, MN, registered under NPI 1912069402. 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 4801 HIGHWAY 61 N STE 300, White Bear Lake, MN 55110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4801 HIGHWAY 61 N STE 300, White Bear Lake, MN 55110 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
11674 MN Periodontics primary
1223PO300X MN Periodontics

This provider holds licence 11674 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 - Dentist
PAC ID
8628252012
Enrollment ID
I20170127002579

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. 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
Dental Providers Dentist Periodontics

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223P0300X Periodontics Periodontics 11674 MN primary
1223P0300X Periodontics Periodontics 1223PO300X MN

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.

NPI1912069402 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 14, 2006
Last updatedJul 8, 2007
StatusActive
Sole proprietorYes
CredentialD.D.S.
Practice address 4801 HIGHWAY 61 N STE 300
White Bear Lake, MN 55110
(651) 429-2299
Fax (651) 429-6630
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1912069402 passes the NPI check digit test The final digit 2 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 9 1 2 0 6 9 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 2 2 0 6 9 4 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

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 1912069402?
NPI 1912069402 is the National Provider Identifier assigned to Matthew Lorson, D.D.S. in White Bear Lake, 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 Periodontics cover?
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.
How do I contact Matthew Lorson, D.D.S.?
The phone number on file with NPPES is (651) 429-2299, last updated Jul 8, 2007. 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 Matthew Lorson, 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 1912069402 a valid number?
Yes. 1912069402 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.