MOMENTA, PC
NPI 1497814032
Oral & Maxillofacial Surgery in North Oaks, MN

Active since December 08, 2006CLIA 24D2339943 · Waiver
700 VILLAGE CENTER DR STE 170, NORTH OAKS, MN 55127(651) 482-0065(651) 482-6144 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Oral & Maxillofacial Surgery
  • Accepts Insurance
  • CLIA Number: 24D2339943
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 03-09-2028

About MOMENTA, PC

This page provides the complete NPI Profile along with additional information for Momenta, Pc, a provider established in North Oaks, Minnesota operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1497814032 assigned on December 2006. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Momenta, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Stephen Gadient-karl Andreasen & Associates, Pc. The authorized official of this NPI record is Dr. Karl H Andreasen Dds (President)

NPI
1497814032 Verify this NPI
Provider Legal Name
MOMENTA, PC
Other Organization Name
STEPHEN GADIENT-KARL ANDREASEN & ASSOCIATES, PC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
700 VILLAGE CENTER DR STE 170 NORTH OAKS, MN 55127
Location Phone
(651) 482-0065
Location Fax
(651) 482-6144
Mailing Address
700 VILLAGE CENTER DR STE 170 NORTH OAKS, MN 55127
Mailing Phone
(651) 482-0065
Mailing Fax
(651) 482-6144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2006
Last Update Date
06-12-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KARL H ANDREASEN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(651) 482-0065

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2339943
Facility Type
Practitioner Other
Certificate Effective Date
March 10, 2026
Certificate Expiration Date
March 09, 2028
Laboratory Director
EMAD ABDOU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Momenta, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MOMENTA, PC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
700 VILLAGE CENTER DR STE 170
NORTH OAKS, MN 55127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497814032, enumerated as an "organization" on December 08, 2006.

The provider is located at 700 VILLAGE CENTER DR STE 170 NORTH OAKS, MN 55127 and the phone number is (651) 482-0065.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.