Angela Offord, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D12710 Issued in MN

Practice address

1901 1St Ave NE
Stewartville, MN 55976-9318

Phone

(507) 533-4719

NPI assigned

Jun 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1023245586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559769318",
            "telephone_number": "507-533-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559769318",
            "telephone_number": "507-533-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFORD",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Lonien, M.S. CCC-SLP
• McBe Company (Weber & Judd - Stewartville)
• Brandon Mickelson, D.C.
• Pamela Jo Mueller, RN, BSN, FCP
• Mary Nord
• Roger Lee Osborne
• Pearl Consulting LLC
• Vanessa Mae Peterson
• Gabrielle C Poller, M.S
• Rochester Medical Corporation

• Dentist in Stewartville, MN
• Providers in Stewartville, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.