Amanda Oestreich

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13061 Issued in MN

Practice address

4131 26TH St NW
Suite 1
Rochester, MN 55901-8342

Phone

(507) 282-8082

NPI assigned

Jun 14, 2012

Last updated

Jun 14, 2012By the provider in NPPES

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lakewood Dental

  • General Practice Dentistry
  • Rochester, MI
  • NPI 1063542462
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1891057816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 26TH ST NW",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 26TH ST NW",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018342",
            "telephone_number": "507-282-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESTREICH",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma Nnenna Odurukwe
• Odyssey Healthcare Holding Company (Heartland)
• Richard A Oeckler, M.D., PHD
• Rebecca Jo Oelslager
• Brady William Oeltjenbruns, APRN-CNP
• Laurel Ann Oetjen, OTR/L
• Olisaemeka Dilibe Ogbue, MBBS
• Devin Oglesbee, PHD, FACMG
• Sandra Paulette Ogletree, MD
• Avital Ogniewicz

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, 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 Jun 14, 2012; 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.