Organization Active NPI

Momenta, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • North Oaks, MN
National Provider Identifier
1497814032
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
MOMENTA, PC
Practice address
700 Village Center Dr Ste 170
North Oaks, MN 55127-3025
Phone
(651) 482-0065
Fax
(651) 482-6144
NPI assigned
Dec 8, 2006
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Dr. Karl H Andreasen, DDS
Title
President
Phone
(651) 482-0065

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

700 Village Center Dr Ste 170
North Oaks, MN 55127-3025

Mailing address

700 Village Center Dr Ste 170
North Oaks, MN 55127-3025
Phone (651) 482-0065

Other names 2

  • Andreasen, Kent, Gadient & Associates, PC Former legal business name
  • Stephen Gadient-Karl Andreasen & Associates, PC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2339943Momenta PC700 Village Center Drive, Ste 170, North Oaks, MN 55127Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory

Locations

1912 Lexington Ave N
Roseville, MN 55113
Phone (651) 636-2420

1912 Lexington Ave N
Ste 150
Roseville, MN 55113
Phone (651) 636-2420

700 Village Center Dr
Ste 170
Saint Paul, MN 55127
Phone (651) 482-0065

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1497814032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR STE 170",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273025",
            "telephone_number": "651-482-0065",
            "fax_number": "651-482-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR STE 170",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273025",
            "telephone_number": "651-482-0065",
            "fax_number": "651-482-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "ANDREASEN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-482-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andreasen, Kent, Gadient & Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Stephen Gadient-Karl Andreasen & Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Stephen Gadient-Karl Andreasen & Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Oaks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.