Steven Wayne Osmond, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2132 Issued in ND

Practice address

521 E Main Ave
Suite 100
Bismarck, ND 58501-4418

Phone

(804) 520-0000

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 2, 2015 through Nov 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Custom Endodontics, PC

  • Endodontics
  • Bismarck, ND
  • NPI 1124468590
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1043331861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MAIN AVE",
            "address_2": "SUITE 100",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014418",
            "telephone_number": "804-520-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MAIN AVE",
            "address_2": "SUITE 100",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014418",
            "telephone_number": "804-520-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMOND",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3962",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "ND",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari L Orser, MD
• Sarah Ortegon
• Damion Winter Orton, FATHER
• Kimberley Osadchuk, LMSW
• Sarah Oshodin
• Michaela Ostendorf, PHARM.D
• Lynelle Osvold
• Jessica Beth Oswald, MS OTR/L
• Guy G Otteson, OD
• Kyle M Otteson, OD

• Endodontics in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Endodontics in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.