Active NPI
Osteogenic Medical LLC
Doing business as SMART Recovery
- Durable Medical Equipment & Medical Supplies
- Edina, MN
National Provider Identifier
1114412566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OSTEOGENIC MEDICAL LLC
- Doing business as
- SMART Recovery
- Practice address
- 4445 77TH St W Ste 208
Edina, MN 55435-5190 - Phone
- (612) 368-7391
- Fax
- (612) 424-0948
- NPI assigned
- Jun 28, 2018
- Last updated
- Oct 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kass Anderson
- Title
- Payment Coordinator
- Phone
- (612) 368-7391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
4445 77TH St W Ste 208
Edina, MN 55435-5190
Mailing address
5832 Lincoln Dr Ste 323
Edina, MN 55436-1616
Phone (612) 710-1489
Other names 1
- SMART Recovery
National Provider Directory
National Provider DirectoryLocations
5100 Eden Ave
Ste 301
Edina, MN 55436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1114412566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5832 LINCOLN DR STE 323",
"city": "EDINA",
"state": "MN",
"postal_code": "554361616",
"telephone_number": "612-710-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 77TH ST W STE 208",
"city": "EDINA",
"state": "MN",
"postal_code": "554355190",
"telephone_number": "612-368-7391",
"fax_number": "612-424-0948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSTEOGENIC MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-28",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KASS",
"authorized_official_title_or_position": "PAYMENT COORDINATOR",
"authorized_official_telephone_number": "612-368-7391"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SMART Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.