Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124512140 Individual Practitioner Female Practitioner

Dr. Keri Ishibashi , DMD

Dentist - General Practice • Bigfork, MN

Professional Overview & Biography Verified Profile Summary

Dr. Keri Ishibashi, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bigfork, MN. Practice services are available at 303 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

303 Main St

Bigfork, MN 566282001

Telephone 2187433600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bigfork, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Bigfork, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14053

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1770073322

Doctor of Dental Surgery

Dr. Peter Taylor , DDS

Dentist - General Practice

NPI 1932261922

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 08, 2021

Registered at 303 MAIN ST, BIGFORK, MN 566282001 (Tel: 2187433600)

📍
Updated Business Mailing Address January 08, 2021

Registered at 303 MAIN ST, BIGFORK, MN 566282001 (Tel: 2187433600)

NPI Profile Active June 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2018

Registered at 10700 FRANCE AVE S STE 102, BLOOMINGTON, MN 554313693 (Tel: 9526793531)

📍
Updated Business Mailing Address June 22, 2018

Registered at 10700 FRANCE AVE S STE 102, BLOOMINGTON, MN 554313693

👤
Provider Name / Credentials Updated June 22, 2018

Recorded as KERI ISHIBASHI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Dentist (License #D14053 in MN)

🟢
Initial NPI Registration & Enumeration June 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124512140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2018
Last Update: January 08, 2021
Sole Proprietor: No

Mailing Address

303 Main St

Bigfork, MN 566282001

Phone: 2187433600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.