Osberg Pesola Scamp Kaivo DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OSBERG PESOLA SCAMP KAIVO DDS PA

Doing business as

Parkway Dental

Practice address

16518 West 78TH Street
Eden Prairie, MN 55346

Phone

(952) 937-2137

Fax

(952) 937-5820

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Gertner

Title

Office Manager

Phone

(612) 824-4211

Specialties & licenses 1

Addresses

Other names 1

• Parkway Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Reece Meyer, DDS

  • Dentist
  • Eden Prairie, MN
  • NPI 1407863012
  NPD (past)
• James Charles Osberg, DDS

  • Dentist
  • Eden Prairie, MN
  • NPI 1831106442
  NPD (past)
• Anthony August Pesola, DDS

  • Dentist
  • Eden Prairie, MN
  • NPI 1285641803
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508873118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16518 WEST 78TH STREET",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55346",
            "telephone_number": "952-937-2137",
            "fax_number": "952-937-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16518 WEST 78TH STREET",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55346",
            "telephone_number": "952-937-2137",
            "fax_number": "952-937-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBERG PESOLA SCAMP KAIVO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERTNER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-824-4211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela J. Orning
• Kingsley A Orraca-Tetteh, MD
• Orthodontic Specialists of Minnesota, P.L.L.C. (The Dental Specialists- Orthodontics)
• Orthorehab Specialists, Inc
• Chelsie Ortiz, ARNP
• James Charles Osberg, DDS
• Sabrrina D Osberg
• Aisha Osman
• Ikram Hassan Osman
• Iman Osman

• Dentist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.