Dr. Brent D Deragisch, DDS
Dr. Brent D Deragisch is a Dentist provider (Dentist) practicing in St Cloud, MN, registered in the NPPES registry with NPI 1164643292 since 2007. The credential DDS stands for Doctor of Dental Surgery. Practices at Drs Catton Wolseth Como & Jacobson PA (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164643292 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Brent D Deragisch |
| Credential | DDS |
| Sex | Male |
| Practice address | 1500 NORTHWAY DRIVE, St Cloud, MN, 56303 |
| Phone | 3202537700 |
| Fax | 3202539271 |
| Enumeration date | 2007-05-02 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 11953 | MN |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Brent Deragisch, DDS NPI: 1164643292 Taxonomy: 122300000X (Dentist) Address: 1500 NORTHWAY DRIVE, St Cloud, MN, 56303
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770690380 | Dennis Andersen | Individual | Counseling Psychologist | Saint Cloud, MN |
| 1699882217 | Jan Holtz | Individual | Clinical Neuropsychologist | Saint Cloud, MN |
| 1003948217 | Drs Catton Wolseth Como & Jacobson PA | Organization | Dentist | St Cloud, MN |
| 1528286317 | Sarah Layne | Individual | Dentist | St Cloud, MN |
| 1225256019 | Thomas Como | Individual | Dentist | St Cloud, MN |
| 1861614901 | Greg Lehman | Individual | Dentist | St Cloud, MN |
| 1386866440 | Rolf Jacobson | Individual | Dentist | St Cloud, MN |
| 1801018965 | Bruce Kudak | Individual | Dentist | St Cloud, MN |
Verify this record
Cross-check NPI 1164643292 against the authoritative CMS record: view Dr. Brent D Deragisch on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.