Organization Active NPI

Osteogenic Medical LLC

Doing business as SMART Recovery

  • Durable Medical Equipment & Medical Supplies
  • Edina, MN
National Provider Identifier
1114412566
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.