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Dr. Bethany Anne Blonigen , DDS

Dentist β€’ Saint Cloud, MN

Active NPI 1487233888 Individual Practitioner Female Practitioner
Practice location in NPPES

1500 Northway Dr
Saint Cloud, MN 563031219

Call 3202537700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 Northway Dr

Saint Cloud, MN 563031219

Telephone 3202537700
Organization at the Same NPPES Address or Phone
Central Minnesota Orthodontics Facility NPI 1306901814

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.16 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Cloud and Minnesota

13 active clinicians are listed under Dentist with a practice address in Saint Cloud, MN (1,796 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $13.16.

Manufacturer Payment Nature Product Type Amount ($)
Philips North America LLC
Food and Beverage
Cash or cash equivalent
(E55) Oral Health Care Und General $13.16

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MN D14592

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1780806901

Doctor of Dental Surgery

NPI 1528286317

Doctor of Dental Surgery

NPI 1861614901

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address April 10, 2025

Registered at 2205 26TH ST S, SAINT CLOUD, MN 563019116 (Tel: 3202490755)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2025

Dentist (license number reported to NPPES: MN D14592)

βœ…
NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 05, 2021

Registered at 1500 NORTHWAY DR, SAINT CLOUD, MN 563031219 (Tel: 3202537700)

πŸ“
Business Mailing Address (Initial Record) April 05, 2021

Registered at 2424 COUNTY ROAD 146, CLEARWATER, MN 553201416 (Tel: 3202490755)

πŸ‘€
Provider Name / Credentials (Initial Record) April 05, 2021

Recorded as BETHANY BLONIGEN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487233888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: April 10, 2025
Sole Proprietor: Yes

Other Dentists in Saint Cloud

All Dentists in Saint Cloud

Mailing Address

2205 26th St S

Saint Cloud, MN 563019116

Phone: 3202490755

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.