Op Orthodontics of Minnesota PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

OP ORTHODONTICS OF MINNESOTA PLLC

Practice address

3701 Tower Ave
Superior, WI 54880-5338

Phone

(218) 460-5417

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Carlson Orthodontics Doing business as

Tax ID family

Carlson Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Op Orthodontics of Minnesota PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ironwood, MI
  • NPI 1083372031
  NPD tax ID
• Op Orthodontics of Minnesota PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Duluth, MN
  • NPI 1982363586
  NPD tax ID

Locations

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1356009302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805338",
            "telephone_number": "218-460-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805338",
            "telephone_number": "218-460-5417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10541 N Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548436462",
            "country_code": "US",
            "telephone_number": "218-460-5417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1419 Beaser Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548063616",
            "country_code": "US",
            "telephone_number": "218-460-5417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OP ORTHODONTICS OF MINNESOTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hillary Olsen
• Brynn Olson, CFY-SLP
• Karen Olson
• Neil Olson
• Dustin Oosten, MS
• Oral and Maxillofacial Surgical Associates PA
• Catherine Orlandi
• Susan Kay Ostern, COTA
• Zachary T Otto, PHARMD
• Susan M Paine, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Superior, WI
• Providers in Superior, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.