Carley Odens, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D13542 Issued in MN

Practice address

241 Cleveland Ave S Ste 1D
Saint Paul, MN 55105-1255

Phone

(651) 699-3212

Fax

(651) 698-8898

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Great Odens, LLC

  • Dentist
  • Saint Paul, MN
  • NPI 1144717299
  NPD Authorized official
• Riverbend Family Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1619781770
  NPD

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1851772453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CLEVELAND AVE S STE 1D",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051255",
            "telephone_number": "651-699-3212",
            "fax_number": "651-698-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CLEVELAND AVE S STE 1D",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051255",
            "telephone_number": "651-699-3212",
            "fax_number": "651-698-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODENS",
        "first_name": "CARLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octecg Lab Inc.
• Andrew Odean, PHARMD
• Marjorie Odegard, MD
• Zoe Dehn Odegard, MA, LPC
• Crystal Odeh, MSW, LICSW
• Sharill Kay Odenwald, RN
• Riley Odom, NP-C
• Mia Oedegaard
• Brett Oestreich, M.D.
• Bridget Kathryn Oflaherty

• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.