NPIMap

Organization Active NPI

Oz Family Dentistry, P.C.

  • General Practice Dentistry
  • Mankato, MN
National Provider Identifier
1962525261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9651 Issued in MN
Legal business name
OZ FAMILY DENTISTRY, P.C.
Practice address
1550 Adams St
Mankato, MN 56001-5192
Phone
(507) 387-2603
Fax
(507) 387-4112
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel M. Osdoba, D.D.S.NPI 1164545463
Title
President
Phone
(507) 387-2603

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D9651 MN Primary

Addresses

Primary practice location

1550 Adams St
Mankato, MN 56001-5192

Mailing address

1550 Adams St
Mankato, MN 56001-5192
Phone (507) 387-2603

National Provider Directory

National Provider Directory

Locations

1550 Adams St
Mankato, MN 56001
Phone (507) 387-2603

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962525261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015192",
            "telephone_number": "507-387-2603",
            "fax_number": "507-387-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015192",
            "telephone_number": "507-387-2603",
            "fax_number": "507-387-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZ FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSDOBA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-387-2603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.