Rolf P Moen, DDS
Rolf P Moen is a Dentist provider (Dentist) practicing in Brainerd, MN, registered in the NPPES registry with NPI 1275696387 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1275696387 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Rolf P Moen |
| Credential | DDS |
| Sex | Male |
| Practice address | 402 JAMES STREET, Brainerd, MN, 56401 |
| Phone | 2188294243 |
| Fax | 2188258102 |
| Enumeration date | 2006-12-19 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 9531 | MN |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05220700 | Medicaid | MN | — |
Copy-ready billing details
Provider: Rolf Moen, DDS NPI: 1275696387 Taxonomy: 122300000X (Dentist) Address: 402 JAMES STREET, Brainerd, MN, 56401
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336202456 | Jeffrey Mattson | Individual | Dentist | Brainerd, MN |
Verify this record
Cross-check NPI 1275696387 against the authoritative CMS record: view Rolf P Moen 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
Where does Rolf Moen practice?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.