Sean O'Dell, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D13934 Issued in MN

Practice address

3507 Round Lake Blvd NW Ste 900
Anoka, MN 55303-4908

Phone

(763) 323-7677

NPI assigned

May 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Sean O'Dell DDS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Watertown, SD
  • NPI 1548797590
  NPD (past) Authorized official
• Family Orthodontic Specialists PLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anoka, MN
  • NPI 1730822479
  NPD

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1306283759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 ROUND LAKE BLVD NW STE 900",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553034908",
            "telephone_number": "763-323-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 ROUND LAKE BLVD NW STE 900",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553034908",
            "telephone_number": "763-323-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "SEAN",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D13934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzy Nuetzman
• Libbie Nyarangi
• Samantha Eliazabeth Nyberg, LMT
• Naomi Nystrom, PSYD, LP
• Hailey O'Como, CCC-SLP
• Samantha Rae O'Donnell
• Linda Oberg, LMFT
• Chinedu Uzoma Odurukwe
• Nicole Olesen
• Emily Ongaga

• Orthodontics and Dentofacial Orthopedics Dentistry in Anoka, MN
• Providers in Anoka, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.