On-Site Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ON-SITE DENTISTRY

Practice address

7600 France Ave. S.
Suite 1100
Edina, MN 55130-5924

Phone

(763) 545-7545

Fax

(952) 929-2067

NPI assigned

Dec 20, 2016

Last updated

Nov 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Charles Fincham

Title

Executive Director

Phone

(612) 961-0866

Specialties & licenses 2

Addresses

Tax ID family

On-Site Dentisty2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• On-Site Dentistry

  • Multi-Specialty Clinic/Center
  • Edina, MN
  • NPI 1528558244
  NPD tax ID

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1386189801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE. S.",
            "address_2": "SUITE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554365924",
            "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.",
            "address_2": "SUITE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "551305924",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "FINCHAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-961-0866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 Podiatry Services)
• On-Site Dentistry
• On-Site Hearing Services, Inc.
• On-Site Podiatry, Inc
• On-Site Podiatry, Inc.
• Oncoplastic General Surgery LLC

• General Practice Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.