OWEN JAMES THOELE (NPI# 1336336536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336336536 |
| Entity Type | Individual |
| Full Name | OWEN JAMES THOELE |
| Credential | DDS |
| Practice Address |
11269 Jefferson Hwy N Champlin MN 55316-3123 |
| Mailing Address |
2803 E 38th St # 203 Minneapolis MN 55406-4414 |
| Practice Telephone | 7634215206 |
| Practice Fax Number | 7634218320 |
| Mailing Telephone | 6125080170 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12453 | MN | Dental Providers |
| Street Address |
11269 JEFFERSON HWY N |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849530 | Kaye Ann Marie Abel | Pediatrics | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2005-11-23 |
| 1801402722 | Allina Health System | Clinic/Center | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2020-09-16 |
| 1578175501 | Tonya Lynn Freeman | Psychologist | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2020-08-20 |
| 1386180875 | Erin Erickson | Registered Nurse | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2017-01-09 |
| 1780075630 | Katelyn Moritz | Nurse Practitioner | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2015-02-13 |
| 1952719254 | Ellen Fastner | Nurse Practitioner | 11269 Jefferson Hwy N, Champlin, MN 55316 | 2014-07-30 |
| 1215371471 | Chameng V Vang | Family Medicine | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2013-04-18 |
| 1780978023 | Mark Christopher Goetz | Psychologist | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2011-06-03 |
| 1871899674 | Allina Health System | Clinic/Center | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2011-01-27 |
| 1497989214 | Allison R Hotujec | Family Medicine | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2009-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1003052770 | Kenneth Donald Salo | Dentist | 11816 Mississippi Dr N, Champlin, MN 55316-2513 | 2008-12-30 |
| 1609928563 | Majid Fehresti | Dentist | 12027 Business Park Blvd N, Champlin, MN 55316-4526 | 2007-01-18 |
| 1386710499 | Pdg, P.a. | Dentist | 12180 Business Park Boulevard North, Champlin, MN 55316-3123 | 2006-11-28 |
| 1144306101 | Docia Ann Hogan | Dentist | 12233 Champlin Dr, Champlin, MN 55316-1930 | 2006-10-31 |
| 1851477020 | Andrew R Moffitt | Dentist | 502 Jefferson Hwy, Champlin, MN 55316 | 2006-10-31 |
| 1992818751 | Champlin Family Dental Pa | Dentist | 12233 Champlin Drive, Champlin, MN 55316 | 2006-08-16 |
| 1427416163 | Ashley Marie Verbick | Dentist | 12180 Business Park Blvd N, Champlin, MN 55316-4525 | 2016-02-09 |
| 1376877316 | Twin Cities Dental, Pa | Dentist | 12027 Business Park Blvd N, Champlin, MN 55316-4526 | 2009-09-23 |
| 1699834150 | Krista Monique Thelen | Dentist | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2006-12-08 |
| Find all providers in CHAMPLIN | ||||
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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.