KERI ISHIBASHI (DMD) – General Practice Dentistry, NPI 1124512140

KERI ISHIBASHI (DMD) is a healthcare provider. based in Bloomington, Minnesota. specializing in General Practice Dentistry. They hold the professional credentials DMD. They hold a License No. D14053 (MN). The NPI Number for KERI ISHIBASHI (DMD) is 1124512140

Main info

Female
Name
KERI ISHIBASHI (DMD)
NPI
1124512140
Phone
Not provided
Address
10700 FRANCE AVE S STE 102
Enumeration Date
22 June 2018
Last Update Date
8 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for KERI ISHIBASHI (DMD)

  • France Avenue South, Bloomington, Hennepin County, Minnesota, 55435-4534, United States

    BLOOMINGTON, MN 554313693

    Phone:

    Type: Mailing

  • 303 MAIN ST

    BIGFORK, MN 566282001

    Phone: (218) 743-3600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Hu-Friedy Mfg. Co., LLC ($75).

Total Amount

$143

General + Research + Ownership

Payments

4

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55431)

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Reviews

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Frequently asked questions

What number should I use to identify KERI ISHIBASHI (DMD) for billing?
Administrative and clinical systems typically use NPI 1124512140 for KERI ISHIBASHI (DMD).
Does the public listing show KERI ISHIBASHI (DMD) as active?
KERI ISHIBASHI (DMD)'s NPI record reflects an active status in NPPES.
What services align with KERI ISHIBASHI (DMD)'s listing?
KERI ISHIBASHI (DMD)'s public classification highlights General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KERI ISHIBASHI (DMD)?
KERI ISHIBASHI (DMD) is associated with Bloomington, Minnesota in the same public data insurers reference.
Can I export KERI ISHIBASHI (DMD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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