Headwaters Dental
Headwaters Dental is a healthcare organization registered as General Practice Dentistry in Bemidji, MN, holding Type 2 (organization) NPI 1558374561 since 2006. The authorized official on file is Patricia Winslow Feil, DDS/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558374561 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Headwaters Dental |
| Practice address | 2229 23RD ST NW, Bemidji, MN, 56601 |
| Phone | 2183336515 |
| Fax | 2183336519 |
| Enumeration date | 2006-08-14 |
| Last updated in NPPES | 2016-03-28 |
Authorized official
| Name | Patricia Winslow Feil |
|---|---|
| Title | DDS/Owner |
| Phone | 2183336515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96501800 | Medicaid | MN | — |
Copy-ready billing details
Provider: Headwaters Dental NPI: 1558374561 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2229 23RD ST NW, Bemidji, MN, 56601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184637191 | Michael Feil | Individual | Dentist | Bemidji, MN |
| 1245331917 | Patricia Feil | Individual | Dentist | Bemidji, MN |
| 1083378616 | Ryan Mccollum | Individual | Dentist | Bemidji, MN |
| 1700747631 | Moosecreek Dental Co | Organization | General Practice Dentistry | Bemidji, MN |
Verify this record
Cross-check NPI 1558374561 against the authoritative CMS record: view Headwaters Dental 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
Who is the authorized official for Headwaters Dental?
What is the NPI number for Headwaters Dental?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-03-28.