JANELLE JEHN (NPI# 1003230137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003230137 |
| Entity Type | Individual |
| Full Name | JANELLE JEHN |
| Practice Address |
4342 4th Ave S Minneapolis MN 55409-2155 |
| Mailing Address |
636 Broadway St Ne Minneapolis MN 55413-2164 |
| Practice Telephone | 6128229030 |
| Practice Fax Number | 6128212818 |
| Mailing Telephone | 6127461530 |
| Mailing Fax Number | 6127461531 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | DT38 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1992822290 | 05 |
| Street Address |
4342 4TH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55409-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629575493 | Twin Cities Music Therapy Services, LLC | Music Therapist | 3754 Pleasant Ave S., #105, Minneapolis, MN 55409 | 2018-04-09 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1093144750 | Nicole Pattee | Social Worker | 3751 Nicollet Ave, Minneapolis, MN 55409 | 2013-11-04 |
| 1598817678 | City of Minneapolis | Clinic/Center | 3131 19th Avenue South, Room 122, Minneapolis, MN 55409 | 2007-01-17 |
| 1366544587 | Robert C Shepherd | Chiropractor | 2415 Hennepin Ave S, Minneapolis, MN 55409 | 2006-09-01 |
| 1922563600 | Karlene Manitowich | Chiropractor | 3706 Nicollet Ave, Minneapolis, MN 55409 | 2019-02-06 |
| 1508385246 | Jessica Lynn Dahlton | Acupuncturist | 708 W 40th St, Minneapolis, MN 55409 | 2017-09-13 |
| 1508395575 | Daniel Scott Ronken | Counselor | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2017-06-05 |
| 1447538608 | Jonee Elizabeth Meagher | Optometrist | 4243 4th Ave S, Minneapolis, MN 55409 | 2011-07-21 |
| 1760532683 | Larry G Tucker | Marriage & Family Therapist | 310 E 38th St, Suite 320, Minneapolis, MN 55409 | 2007-01-11 |
| Find all providers in zip 55409 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074607 | Abdulkadir Egeh | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-08-19 |
| 1033729033 | Annalise Wallerich | Dental Therapist | 2232 Hennepin Ave, Minneapolis, MN 55405-2737 | 2020-08-04 |
| 1679033252 | Sheli Kaye Parkison | Dental Therapist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2019-03-21 |
| 1386146942 | Julie Marie Klemond | Dental Therapist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2018-02-28 |
| 1073013322 | Nicole Mathew | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-13 |
| 1134637143 | Lucky Vang | Dental Therapist | 2228 E Lake St, Minneapolis, MN 55407-4321 | 2018-01-12 |
| 1891233748 | Jenny Meyers | Dental Therapist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2017-02-10 |
| 1679962708 | Verny Martinez | Dental Therapist | 2232 Hennepin Ave, Minneapolis, MN 55405-2737 | 2015-01-13 |
| 1114315678 | Teresa Bushnell | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2015-01-06 |
| 1124416789 | Trina Courtright | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2015-01-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55409 |
Please comment or provide details below to improve the information on JANELLE JEHN.
| 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.