The Dentists House LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10296 Issued in MN

Legal business name

THE DENTISTS HOUSE LLC

Practice address

505 4TH St NW
Faribault, MN 55021-5032

Phone

(507) 334-7471

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Lavern Ohlsen, DOCTORNPI 1962700245

Title

Dentists

Phone

(507) 334-7471

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mark L Ohlsen2 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.

• Mark L Ohlsen

  • Dentist
  • Faribault, MN
  • NPI 1740397611
  NPD tax ID

Locations

Practitioners 1

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

• Mark Lavern Ohlsen

  • General Practice Dentistry
  • Faribault, MN
  • NPI 1962700245
  NPD (past) Authorized official

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1669634812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 4TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215032",
            "telephone_number": "507-334-7471",
            "fax_number": "507-334-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 4TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215032",
            "telephone_number": "507-334-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTISTS HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "OHLSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "DENTISTS",
        "authorized_official_telephone_number": "507-334-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "273522900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tareen Dermatology, PA
• Ann Margaret Taylor Sundstrom, LICENSED PSYCHOLOGIS
• Terri L Ross
• Rahwa Tesfe, PHARM D
• Mary Jane Tetzloff, MD
• The Emeralds at Faribault Assisted Living LLC
• The Emeralds at Faribault LLC
• Therapywerks PA
• Deborah Ann Thibodeau, RPH
• Thomas Backenstose

• General Practice Dentistry in Faribault, MN
• Providers in Faribault, 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 Jun 30, 2008; 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.