Oakridge Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAKRIDGE DENTAL CENTER

Practice address

13481 60TH St N
Stillwater, MN 55082-1055

Phone

(651) 430-9990

Fax

(651) 430-3448

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Genie Kuble

Title

Contact Officer

Phone

(920) 450-0157

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas G Weiher, D.D.S.

  • General Practice Dentistry
  • Oak Park Heights, MN
  • NPI 1861557365
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023173531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821055",
            "telephone_number": "651-430-9990",
            "fax_number": "651-430-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUBLE",
        "authorized_official_first_name": "GENIE",
        "authorized_official_title_or_position": "CONTACT OFFICER",
        "authorized_official_telephone_number": "920-450-0157"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Karen O'Hara, NP-FAMILY
• Charles Dennis O'Hare, MD
• Chase Brendan O'Keefe, D.C.
• Oak Hill Wellness
• Renee M. Oakes, BA, FCP
• Amy Jo Olson, L.AC.
• Brenda Olson, OTR/L
• Erika Olson, SLP
• Evan Robert Olson, DPT
• Jane Olson, C.O.T.A

• General Practice Dentistry in Stillwater, MN
• Providers in Stillwater, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.