NPIMap

Organization Active NPI

Scott C. Osborn D.D.S. and Associates PA

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1689741787
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCOTT C. OSBORN D.D.S. AND ASSOCIATES PA
Practice address
510 Marquette Ave
Suite 100
Minneapolis, MN 55402-1110
Phone
(612) 338-5557
Fax
(612) 373-0602
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lori Jacobs
Title
Office Manager
Phone
(612) 338-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MN Primary

Addresses

Primary practice location

510 Marquette Ave
Suite 100
Minneapolis, MN 55402-1110

Mailing address

510 Marquette Ave
Suite 100
Minneapolis, MN 55402-1110
Phone (612) 338-5557

Other names 1

  • Nicollet Station Dental Doing business as

National Provider Directory

National Provider Directory

Locations

510 Marquette Ave
Ste 100
Minneapolis, MN 55402
Phone (612) 338-5557

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689741787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MARQUETTE AVE",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021110",
            "telephone_number": "612-338-5557",
            "fax_number": "612-373-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MARQUETTE AVE",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021110",
            "telephone_number": "612-338-5557",
            "fax_number": "612-373-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C. OSBORN D.D.S. AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-338-5557",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicollet Station Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.