Owatonna Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

OWATONNA ENDODONTICS, LLC

Practice address

125 28TH St NE Ste 1
Owatonna, MN 55060-2560

Phone

(507) 242-1441

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Robert Thomas Beasley, DMDNPI 1366679953

Title

Dentist

Phone

(507) 242-1441

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert T Beasley, D.M.D.

  • Endodontics
  • Owatonna, MN
  • NPI 1366679953
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1164096665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18599 VERNA LN",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553729730",
            "telephone_number": "215-667-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 28TH ST NE STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602560",
            "telephone_number": "507-242-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWATONNA ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "507-242-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Paul Otteson, PH.D., LP
• Owatonna Anesthesia Services, P.a.
• Owatonna Care Center
• Owatonna Commons Nursing & Rehabilitation, Inc.
• Owatonna Dental Care
• Owatonna Family Transportation
• Owatonna Natural Health Clinic Inc.
• Owatonna Physical Therapy Center, Inc
• Owatonna Senior Living Community LLC
• Owatonna Sports and Physical Therapy, Inc

• Endodontics in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.