Daniel O Odegaard DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

D7836 Issued in MN

Legal business name

DANIEL O ODEGAARD DDS PA

Practice address

825 Nicollet Mall
Ste 1001
Minneapolis, MN 55402-2614

Phone

(612) 332-2618

Fax

(612) 332-5972

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel O Odegaard, DDSNPI 1104004993

Title

Ceo

Phone

(612) 332-2618

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.

• Daniel O. Odegaard, D.D.S.

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1104004993
  NPD (past) Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083676944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "STE 1001",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022614",
            "telephone_number": "612-332-2618",
            "fax_number": "612-332-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "STE 1001",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022614",
            "telephone_number": "612-332-2618",
            "fax_number": "612-332-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL O ODEGAARD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODEGAARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-332-2618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D7836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dang, PA
• Phuong Bao Dang, MD
• Kim Danh, MSW, LICSW
• Mary Margaret Danich, N.P.
• Daniel E Smoleroff DDS
• Renie Daniel, MD, DMD
• Veronica Javate Daniel, MD
• Kateri K Daniele, NP
• Reut Danieli, M.D.
• Danielle M Kasprzak LLC

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist 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.