MATTHEW IDLE (NPI# 1699228999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699228999 |
| Entity Type | Individual |
| Full Name | MATTHEW IDLE |
| Credential | FRCS(OMFS) |
| Practice Address |
3366 Oakdale Ave N Robbinsdale MN 55422-2948 |
| Practice Telephone | 7635815360 |
| Mailing Telephone | 7635815360 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
R640 | MN | Dental Providers |
| Street Address |
3366 OAKDALE AVE N |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
| 1164954020 | Brianna Kay Randall | Physician Assistant | 3366 Oakdale Ave N, Ste 104, Robbinsdale, MN 55422-2948 | 2017-03-30 |
| 1598135287 | Kelly Lynn Vanderheyden | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-07 |
| 1134599038 | Kari Ann Gabrielse | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-05 |
| 1346621919 | Anna E Marjan | Surgery | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2015-06-09 |
| 1982008413 | Amanda Lynn Solyntjes | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1417351941 | Rachael Jensen | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1801205984 | Travis Wayne Urbatch | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2014-08-04 |
| 1609217769 | Rita Ann Anderson | Nurse Practitioner | 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422-2948 | 2013-07-17 |
| 1588005417 | Christopher Andrew Romanowicz | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2013-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1285294611 | Brian Michael Laing | Dentist | 7-147 Moos Health Science Tower, 515 Delaware Street S.e., Minneapolis, MN 55455-0357 | 2019-06-18 |
| 1295218303 | Advanced Oral Surgery | Dentist | 19925 Idealic Ave, Lakeville, MN 55044-2003 | 2018-09-13 |
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1497113674 | West Lakes Dentistry, Pa | Dentist | 5205 Shoreline Dr, Mound, MN 55364-1770 | 2016-02-03 |
| 1003203498 | Tyler John Varhol | Dentist | 550 County Road D W Ste 12, New Brighton, MN 55112-3517 | 2015-04-23 |
| 1225458391 | Levi Zarbano | Dentist | 2550 University Ave W Ste 115n, Saint Paul, MN 55114-1097 | 2014-04-16 |
| 1154760932 | John Salek-raham | Dentist | 700 Village Center Dr., Ste 170, North Oaks, MN 55127-3025 | 2013-06-14 |
| 1649511585 | Kristopher Lee Hasstedt | Dentist | Dentists of Woodbury, 7150 Valley Creek Plaza Ste #230, Woodbury, MN 55125 | 2013-03-01 |
| 1396095048 | Dental Specialists of Minnesota, Pllc | Dentist | 3360 Northdale Blvd., Coon Rapids, MN 55448-1825 | 2012-09-10 |
| Find all providers with the same taxonomy | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
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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.