Adam Wade Podratz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11569 Issued in MN

Practice address

5201 Bloomington Ave
Minneapolis, MN 55417-1819

Phone

(612) 721-6233

NPI assigned

Aug 3, 2005

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

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.

• Hale Family Dental, PA

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1316355639
  NPD (past) Authorized official
• Craig J Brandenburg DDS LTD

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1013070291
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1124029913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 E 57TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172423",
            "telephone_number": "612-860-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171819",
            "telephone_number": "612-721-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRATZ",
        "first_name": "ADAM",
        "middle_name": "WADE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5409-015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Pochant
• Andrea L Pociecha, AU.D.
• Christine Pocrnich, DPT
• Heather A. Podgorski, M.D.
• Tatiana Podolyanchuk, RN
• Jennifer Poehland
• Doreen P. Poehling
• Cindy Jolene Poehls, P.A.
• Rachel Stork Poeppelman, M.D.
• Heather Lynne Poepping, PHARMD

• 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 Jul 30, 2014; 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.