Michael T. Pederson, DDS
Michael T. Pederson, DDS is a healthcare organization registered as General Practice Dentistry in Walker, MN, holding Type 2 (organization) NPI 1487675005 since 2006. The authorized official on file is Kathryn Barker, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487675005 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Michael T. Pederson, DDS |
| Other name | <Unavail> |
| Practice address | 108 MICHIGAN AVENUE WEST, Walker, MN, 56484 |
| Phone | 2185471851 |
| Fax | 2185472261 |
| Enumeration date | 2006-07-21 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kathryn Barker |
|---|---|
| Title | Office Manager |
| Phone | 2185471851 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Michael T. Pederson, DDS NPI: 1487675005 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 108 MICHIGAN AVENUE WEST, Walker, MN, 56484
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548297039 | Michael Pederson | Individual | General Practice Dentistry | Walker, MN |
Verify this record
Cross-check NPI 1487675005 against the authoritative CMS record: view Michael T. Pederson, DDS 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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Where is Michael T. Pederson, DDS located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.