Doctor's House

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

49342 Issued in MN

Legal business name

DOCTOR'S HOUSE

Practice address

6565 France Ave S Ste 350
Edina, MN 55435-2137

Phone

(612) 836-9412

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Adepero Olufunmilayo Okulaja, MDNPI 1780794016

Title

Owner

Phone

(612) 836-9412

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Adepero Olufunmilayo Okulaja, MD

  • Internal Medicine Physician
  • Edina, MN
  • NPI 1780794016
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1609389675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S # 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "215-668-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S STE 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "612-836-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "OKULAJA",
        "authorized_official_first_name": "ADEPERO",
        "authorized_official_middle_name": "OLUFUNMILAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-836-9412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "49342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discover Life Chiropractic, LLC
• Nicole M Dishong, CNM
• Steven Mark Dittes, M.D.
• Diversity Healthcare LLC
• Mike Dixey, PT
• Christine Wheeler Doe, M.A.
• Bradley M Doeden, MD
• Shannon Marie Doerge Nascene, DDS
• Riley Doering
• Suzanne Elizabeth Doerr, RPH

• Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.