NPIMap

Organization Active NPI

Ocg LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eden Prairie, MN
National Provider Identifier
1790809267
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OCG LTD
Practice address
16570 W 78TH St
Eden Prairie, MN 55346-4308
Phone
(952) 937-8733
NPI assigned
Mar 19, 2007
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
Karie T Graden
Title
Director of Operations
Phone
(952) 432-1103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X MN Primary

Addresses

Primary practice location

16570 W 78TH St
Eden Prairie, MN 55346-4308

Mailing address

14605 Glazier Ave
Apple Valley, MN 55124-7545

Other names 1

  • Orthodontic Care Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Care Group20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

16570 W 78th St
Eden Prairie, MN 55346
Phone (952) 937-8733

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790809267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 GLAZIER AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16570 W 78TH ST",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464308",
            "telephone_number": "952-937-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCG LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRADEN",
        "authorized_official_first_name": "KARIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "952-432-1103"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Prairie, 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.