Alex Provo
Dentist · Ada, MN
Alex Provo is a dentist with a practice address in Ada, Minnesota, and NPI 1750762555, issued on Jun 17, 2015. Check the license (Minnesota D13521, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Alex Provo
- Primary taxonomy
- Dentist 122300000X
- License number
- D13521 MN
Self-reported in NPPES; status is on the state search - Practice location
- 200 E Main St, Ada, MN 56510
- Phone
- (218) 784-7119
- Enumerated
- Jun 17, 2015
- Record last updated
- Jun 17, 2015 (not updated in 11 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,794 in Minnesota → Look up another NPI →
Also registered at 200 E Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Debra Ettle, D.D.S.General Practice Dentistry1780724542
- David Resnick, D.D.S.General Practice Dentistry1366582587
Verify Alex Provo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license D13521Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
14% fewer Medicare Part D claims than the average dentist in 2024
74 Medicare Part D claims for 41 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin36 claims
- Methylprednisolone11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $23.06
1 payment: food and beverage; the largest payer was Envista Holdings Corporation. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Alex Provo among 1,794 dentist records in Minnesota
Alex Provo is one of 1,794 dentist records with a practice address in Minnesota. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 64% of them.
- NPI issued2015 · 64% of these records are older, 32% newer
- In a Medicare fileYes · 62% of these records are
- In the CMS Doctors and Clinicians fileNo · 1% of these records are
- Record last updated2015 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 dentist record lists a practice address in Ada
They are 1 of the 28 NPPES records with a practice address in Ada, and 1,794 dentist records in Minnesota.
All 1,794 in Minnesota → Every provider in Ada → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- James Fremstad, D.D.S.Barnesville, MN 565141669422531
- Robert Rostad, DDSBarnesville, MN 565141295809770
- Benjamin Buntrock, DMDDetroit Lakes, MN 565011023372265
- Ryan Ritchie, D.D.SDetroit Lakes, MN 565011649460817
- Carolyn Zunich, D.D.S.Detroit Lakes, MN 565011922028836
- Amanda Terveen, D.D.SDilworth, MN 565291578997151
- Gabriel Enderle, DDSFergus Falls, MN 565371386437770
- Ashok Gorrepati, DDSFergus Falls, MN 565371225489743
Common questions
What is Alex Provo's NPI number?
Alex Provo's National Provider Identifier (NPI) is 1750762555, issued on Jun 17, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Alex Provo located?
The NPPES record lists a practice address at 200 E Main St, Ada, MN, 56510. Phone: (218) 784-7119. Providers update this record themselves, so call before visiting.
How can I verify Alex Provo's license?
NPPES lists Minnesota license number D13521, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
How much does Alex Provo prescribe under Medicare Part D?
In 2024, Alex Provo had 74 Medicare Part D claims for 41 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.