Moosecreek Dental Co

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOOSECREEK DENTAL CO

Practice address

2229 23Rd St NW
Bemidji, MN 56601-5503

Phone

(218) 333-6515

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan McCollum, DDSNPI 1083378616

Title

Dentist

Phone

(218) 556-8083

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan A McCollum, DDS

  • Dentist
  • Bemidji, MN
  • NPI 1083378616
  NPD Authorized official
• Michael David Feil, DDS

  • Dentist
  • Bemidji, MN
  • NPI 1184637191
  NPD (past)
• Patricia Winslow Feil, DDS

  • Dentist
  • Bemidji, MN
  • NPI 1245331917
  NPD (past)

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1700747631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50757 WINTERBERRY DR",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 23RD ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015503",
            "telephone_number": "218-333-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSECREEK DENTAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "218-556-8083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Moeskau, DC
• Shueb Mohamed
• James A Molde, O.D.
• Alexander Monson, CHW
• Micheal Dean Montgomery, LICSW
• Francis Moraleda, MD
• Janet R Moris, LRD
• Matthew Morris, ATC
• Michael David Morris, OTR/L
• Ralph Dozier Morris, M.D. M.P.H.

• General Practice Dentistry in Bemidji, MN
• Providers in Bemidji, 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 Nov 20, 2025; 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.