Odin Ventures, Inc. Dba Dreammaker Bath & Kitchen

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

3198999 Issued in MN

Legal business name

ODIN VENTURES, INC. DBA DREAMMAKER BATH & KITCHEN

Practice address

6801 Wayzata Blvd
St Louis Park, MN 55426-1736

Phone

(952) 417-9999

Fax

(952) 417-9083

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Lynn Monson

Title

President

Phone

(952) 417-9999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1063641108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 WAYZATA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261736",
            "telephone_number": "952-417-9999",
            "fax_number": "952-417-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 WAYZATA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261736",
            "telephone_number": "952-417-9999",
            "fax_number": "952-417-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODIN VENTURES, INC. DBA DREAMMAKER BATH & KITCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-417-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": "3198999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Oberlander, MA, LPCC
• Gency Virginia Ocampo Sorto, LPCC
• Luis Miguel Ocampo
• Lorre Ann Ochs, MD
• Aspasia Odegaard
• Stephanie Oehler, PT
• Kene Ogbogu, MD
• Jacob Ohman
• Resley Okioma, APRN, CNP
• Ngozika Okoye, MD

• Customized Equipment (DME) in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.