CHRISTOPHER MICHAEL DE LA MATER (NPI# 1992848808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992848808 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MICHAEL DE LA MATER |
| Credential | MD |
| Practice Address |
7136 University Ave Ne Fridley MN 55432-3100 |
| Practice Telephone | 7635741636 |
| Practice Fax Number | 7635860072 |
| Mailing Telephone | 7635741636 |
| Mailing Fax Number | 7635860072 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 316 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
7136 UNIVERSITY AVE NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245550912 | Austin C Seward | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2010-06-04 |
| 1215121884 | Prasad Anil Bastodkar | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-08-28 |
| 1508900515 | Paul Francis Stannard | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-16 |
| 1922142918 | Laurie Allyn Goldenberg | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-16 |
| 1013051028 | William Louis Wilkie | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-16 |
| 1033253984 | Joseph Allen Huss | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-16 |
| 1427192368 | Robert Blackford Gillum IIi | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-16 |
| 1366586372 | Richard Tad Pihlstrom | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-16 |
| 1457495491 | Associated Oral and Maxillofacial Surgeons, Pa | Dentist | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649630609 | Kyle Burton Tyler | Oral & Maxillofacial Surgery | 515 Delaware St Se 7-314 Moos Tower, Minneapolis, MN 55455-0357 | 2016-03-02 |
| 1326296120 | Dan E Tolman | Oral & Maxillofacial Surgery | 2709 Merrihills Dr Sw, Rochester, MN 55902-1168 | 2008-09-04 |
| 1588823983 | Jacob Gregory Yetzer | Oral & Maxillofacial Surgery | 3366 Oakdale Ave N Ste 200, Robbinsdale, MN 55422-2962 | 2008-06-02 |
| 1518070648 | Joseph H Wang | Oral & Maxillofacial Surgery | 1101 First St S, Willmar, MN 56201 | 2006-08-15 |
| 1821010497 | Maxillofacial and Oral Surgery Pa | Oral & Maxillofacial Surgery | 7-174 Moos Tower, 515 Delaware Street Se, Minneapolis, MN 55155-0329 | 2006-07-24 |
| 1104898626 | David L Basi | Oral & Maxillofacial Surgery | 515 Delaware St Se, 7-174 Moos Tower, Minneapolis, MN 55455 | 2006-02-07 |
| 1710958368 | Paul F Bruer | Oral & Maxillofacial Surgery | 3209 West 76th Street, #303, Edina, MN 55435 | 2006-01-31 |
| 1144205626 | Lawrence A Palmersheim | Oral & Maxillofacial Surgery | 625 E Nicollet Blvd, Ste 205, Burnsville, MN 55337-6734 | 2005-12-07 |
| 1194363275 | Minnesota Oral and Facial Surgery Pllc | Oral & Maxillofacial Surgery | 2380 Troop Dr Unit 202, Sartell, MN 56377-4637 | 2019-12-19 |
| 1982242061 | Minnesota Head and Neck Surgery Pllc | Oral & Maxillofacial Surgery | 2380 Troop Dr Unit 202, Sartell, MN 56377-4637 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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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.