DR. ANDREW JOHN WAHL (NPI# 1306912225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306912225 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOHN WAHL |
| Credential | D.D.S. |
| Practice Address |
3901 Silver Lake Rd Ne Minneapolis MN 55421-4352 |
| Mailing Address |
110 1st Ave Ne #f702 Minneapolis MN 55413-2235 |
| Practice Telephone | 6127889666 |
| Practice Fax Number | 6127889668 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D11788 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124410543 | Andrew Wahl | Occupational Therapist | 425 Alexander Loop, Eugene, OR 97401-6524 | 2015-02-22 |
| 1124206602 | Andrew O Wahl | Radiology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2008-02-06 |
| 1053478479 | Andrew Vernon Wahl | Podiatrist | 1960 Essington Rd, Suite 103, Joliet, IL 60435-1617 | 2007-01-03 |
| Street Address |
3901 SILVER LAKE RD NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55421-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241782 | Cc Group Home Care Inc | Non-emergency Medical Transport (VAN) | 524 Huset Pkwy Ne, Columbia Heights, MN 55421 | 2019-11-30 |
| 1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
| 1245721976 | Complete Care Home Care LLC | Home Health | 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 | 2018-05-29 |
| 1053816389 | Anoka Health Center LLC | Clinic/Center | 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 | 2018-03-28 |
| 1508381047 | Minnesota Home Health Care LLC | Home Health | 534 Huset Parkway, Columbia Heights, MN 55421 | 2017-08-05 |
| 1720520448 | Tesfa International School | Local Education Agency (LEA) | 1550 40th Avenue Northeast, Columbia Heights, MN 55421 | 2016-11-11 |
| 1487012548 | Icare Transportation | Non-emergency Medical Transport (VAN) | 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 | 2016-02-04 |
| 1194183368 | Warsame Warsame | Non-emergency Medical Transport (VAN) | 1115 45th Ave Ne, Columbia Heights, MN 55421 | 2016-02-03 |
| 1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
| 1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
| Find all providers in zip 55421 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1689081978 | Charlene Tai | Dentist | 2841 Bryant Ave S Apt 433, Minneapolis, MN 55408-4894 | 2014-07-17 |
| 1033542097 | Rebecca Ann Schnitt | Dentist | 515 Deleware Street S.e., 6-320 Moos Health Sciences Tower, Minneapolis, MN 55455 | 2013-08-14 |
| 1972839801 | Kelly Christine Espe | Dentist | 3218 4th St Se, Minneapolis, MN 55414-3320 | 2009-10-28 |
| 1881886919 | Benjamin Tobias Pliska | Dentist | 1314 Marquette Ave Apt 1303, Minneapolis, MN 55403-4112 | 2007-08-13 |
| 1073529103 | David Wayne Zemke | Dentist | 3359 West Broadway, Minneapolis, MN 55422-2938 | 2006-07-31 |
| 1598383879 | Zoe Alexandra Larson | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2020-07-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55421 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.