Orthodontic Partners of Minnesota, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHODONTIC PARTNERS OF MINNESOTA, PLLC

Doing business as

Dunn Orthodontics

Practice address

650 Commerce Dr Ste 170
Woodbury, MN 55125-3058

Phone

(651) 738-3866

NPI assigned

Jul 16, 2021

Last updated

Aug 30, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHODONTIC PARTNERS OF MINNESOTA, PLLCAs reported in NPPES

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

Authorized official

Name

Chad Hendricks

Title

Credentialing Manager

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Dunn Orthodontics Doing business as

Tax ID family

Orthodontic Partners of Minnesota PLLC2 organizations share this tax ID, including this one

Part of

Orthodontic Partners of Minnesota PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthodontic Partners of Minnesota, PLLC

  dba Pearson Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edina, MN
  • NPI 1043095771
  NPD tax ID

Locations

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1023681152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 COMMERCE DR STE 170",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 COMMERCE DR STE 170",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253058",
            "telephone_number": "651-738-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6936 Pine Arbor Dr S Ste 220",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "MN",
            "postal_code": "550164672",
            "country_code": "US",
            "telephone_number": "651-738-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHODONTIC PARTNERS OF MINNESOTA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHODONTIC PARTNERS OF MINNESOTA, PLLC",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunn Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dunn Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bisola Sarah Omoba, MD
• Jena Elaine Onarheim, CNP
• Onsite Care Doctors, PLLC
• Optage Inc (Presbyterian Homes and Services Rehabilitation)
• Gertrude Nnebundo Orakwue, CNP
• Orthodontic Specialists of Minnesota, PLLC (The Dental Specialist Orthodontics Woodbury)
• Orthotic Care Services, LLC
• Lynn Marie Osborne, PT
• Madeline Osborne
• James Osei, APRN, CNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.