Joshua Steven Bednar, D.D.S., M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

64379 Issued in MN

Practice address

3833 Coon Rapids Blvd NW Ste 220
Coon Rapids, MN 55433-2597

Phone

(763) 421-6271

NPI assigned

May 1, 2014

Last updated

Jul 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MN Dental Service Providers LLC

  dba Associated Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Coon Rapids, MN
  • NPI 1962242719
  NPD

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1831509645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332518",
            "telephone_number": "763-586-0070",
            "fax_number": "763-586-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 COON RAPIDS BLVD NW STE 220",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332597",
            "telephone_number": "763-421-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 W 3rd St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MN",
            "postal_code": "553624706",
            "country_code": "US",
            "telephone_number": "763-271-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7136 University Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554323100",
            "country_code": "US",
            "telephone_number": "763-574-1636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Highway 55 E Ste 301",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553135902",
            "country_code": "US",
            "telephone_number": "763-682-3410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12000 Elm Creek Blvd N Ste 235",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697164",
            "country_code": "US",
            "telephone_number": "763-416-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Main St NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301550",
            "country_code": "US",
            "telephone_number": "763-274-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDNAR",
        "first_name": "JOSHUA",
        "middle_name": "STEVEN",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13381",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D13381",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "D13381",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "64379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Beasley
• Olivia Kathleen Beaulieu
• Gary Rex Beaver, M.A.
• Anne Elizabeth Bechtel, RDN
• Alexandra Becker, LGSW
• Alexandra Marie Bednarczyk, OTR/L
• Marlene Ann Beecroft, MSSW, LICSW
• Behavioral Therapy Center, Inc.
• Abigail M Bekhit
• Jordan Bell

• Oral & Maxillofacial Surgery (D.M.D.) in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.