Doctor profile · Federal record

Dr. Carlos Campodonico, DDS

General Practice Dentistry · Blaine, MN

  • NPI 1154546877
  • 19 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
11806 Aberdeen St Ne Ste 150
Blaine, MN 554494748
(763) 786-1545
fax (763) 786-2939

Credentials & registration

NPPES · NUCC
NPI registered
April 2007 — 19 yrs on file
Profile last updated
August 2, 2016
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Minnesota #D12159
Medicaid
MN #767695000

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154546877. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$42
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
BioHorizons Implant Systems Inc. 1 $26.01
GC America Inc. 1 $16.15

By nature of payment

Food and Beverage
$42

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
34
Patients
23
Total drug cost
$87
Drug Type Claims Patients Total cost
Amoxicillin Generic 34 23 $87

Frequently asked questions

Auto-generated from federal data
What is Dr. Carlos Campodonico's medical specialty?
Dr. Carlos Campodonico practices General Practice Dentistry in Blaine, MN.
Where does Dr. Carlos Campodonico practice?
Dr. Carlos Campodonico practices at 11806 Aberdeen St Ne Ste 150, Blaine, MN 554494748. Office phone: 7637861545.
What is Dr. Carlos Campodonico's NPI?
Dr. Carlos Campodonico's National Provider Identifier (NPI) is 1154546877, issued by NPPES.