On-Site Dentistry

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ON-SITE DENTISTRY

Doing business as

On-Site Podiatry Services

Practice address

7600 France Ave S Ste 1100
Edina, MN 55435

Phone

(763) 545-7545

Fax

(952) 929-2067

NPI assigned

May 11, 2018

Last updated

May 14, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

ON-SITE DENTISTRYAs reported in NPPES

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

Authorized official

Name

Ryan Fincham

Title

Executive Director

Phone

(763) 545-7545

Specialties & licenses 1

Addresses

Other names 1

• On-Site Podiatry Services Doing business as

Part of

On-Site Dentisty

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1205326535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355936",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ON-SITE DENTISTRY",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "FINCHAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-545-7545"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On-Site Podiatry Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Joseph Omlie, D.D.S.
• Mark R Omlie, D.D.S.-M.D.
• William R. Omlie, M.D.
• Omni HHC, Inc. (CareMinders Home Care)
• Michael Omomo
• On-Site Dentistry
• On-Site Dentistry
• On-Site Hearing Services, Inc.
• On-Site Podiatry, Inc
• On-Site Podiatry, Inc.

• Podiatrist in Edina, MN
• Providers in Edina, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.