McLean Severson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13370 Issued in MN

Practice address

1050 Minnesota Avenue South
Aitkin, MN 56431

Phone

(218) 927-3785

Fax

(218) 927-1785

NPI assigned

May 28, 2014

Last updated

Jan 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Oaks Dental

  • General Practice Dentistry
  • Aitkin, MN
  • NPI 1780920256
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1518379288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MINNESOTA AVENUE SOUTH",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-927-3785",
            "fax_number": "218-927-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MINNESOTA AVENUE SOUTH",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-927-3785",
            "fax_number": "218-927-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "MCLEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13370",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MN",
            "license": "D13370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Danielle Sander, LMFT
• Linnae Marie Schansberg, LADC
• Diane Schlagel, MSLP
• Charles P Schotzko, M.D.
• Jude Jerome Severson, DDS
• Shopko Stores Operating Co LLC (Shopko Pharmacy 735)
• Kenneth L Siegford, MASSAGE THERAPIST
• William E Stein, DDS
• Jessica Sue Struwve, MSW
• Arthur Charles Swanstrom, DDS

• Dentist in Aitkin, MN
• Providers in Aitkin, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.