Active NPI
Mark L Ohlsen
- Dentist
- Faribault, MN
National Provider Identifier
1740397611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D 10296
- Legal business name
- MARK L OHLSEN
- Doing business as
- The Dentists House LLC
- Practice address
- 505 4TH St NW
Faribault, MN 55021 - Phone
- (507) 334-7471
- Fax
- (507) 334-9736
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark L Ohlsen, DDS
- Title
- Owner
- Phone
- (507) 334-7471
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D 10296 | MN | Primary |
Addresses
Primary practice location
505 4TH St NW
Faribault, MN 55021
Mailing address
505 4TH St NW
Faribault, MN 55021
Phone (507) 334-7471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273522900 | Other | MA |
Other names 1
- The Dentists House LLC
National Provider Directory
National Provider Directory- Tax ID family
- Mark L Ohlsen
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Faribault, MN
- NPI 1669634812
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Faribault, MN
- NPI 1962700245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1740397611",
"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": "55021",
"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": "55021",
"telephone_number": "507-334-7471",
"fax_number": "507-334-9736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK L OHLSEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "OHLSEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-334-7471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MN",
"license": "D 10296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA",
"identifier": "273522900",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Dentists House LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.