Owatonna Endodontics, LLC
NPI 1164096665ActiveOrganization· Dentist, Endodontics· Owatonna, MN
Dentist, Endodontics in Owatonna, Minnesota, registered in NPPES in May 2021. The authorized official on file is Robert Thomas Beasley, DMD, Dentist.
Overview
| NPI | 1164096665 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2021 |
| Last updated in NPPES | Aug 30, 2021 |
| Certified by provider | Aug 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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