Roger Mondale, D.D S.
NPI 1023170248 · General Practice Dentistry · Plymouth, MN
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roger Mondale, D.D S. is a General Practice Dentistry provider in Plymouth, MN (NPI 1023170248).
Provider details
- NPI number
- 1023170248
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D7579 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2009-12-16
Frequently asked questions
- What is Roger Mondale's NPI number?
- Roger Mondale's National Provider Identifier (NPI) is 1023170248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roger Mondale's specialty?
- Roger Mondale is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Roger Mondale located?
- Roger Mondale's practice location on file with NPPES is 10600 Old County Rd. 15, Plymouth, MN 55441.
- What is Roger Mondale's phone number?
- The practice phone number listed in the NPPES registry for Roger Mondale is (763) 512-8500.
- Does Roger Mondale accept Medicare?
- Roger Mondale is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roger Mondale's NPI active?
- Yes — Roger Mondale's NPI (1023170248) is active in the NPPES registry as of the last update on 2009-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.