CONNIE KARJALAHTI (NPI# 1053565044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053565044 |
| Entity Type | Individual |
| Full Name | CONNIE KARJALAHTI |
| Credential | RDH |
| Practice Address |
8960 Springbrook Dr Nw Suite 150 Coon Rapids MN 55433-5852 |
| Practice Telephone | 7637847570 |
| Practice Fax Number | 7637858960 |
| Mailing Telephone | 7637847570 |
| Mailing Fax Number | 7637858960 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | H7864 | MN | Dental Providers |
| Y | 125J00000X | Dental Therapist | DT48 | MN | Dental Providers |
| Street Address |
8960 SPRINGBROOK DR NW SUITE 150 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884760 | Jayne Cernohous | Dentist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2006-01-03 |
| 1578032793 | Thuy Nguyen | Dental Therapist | 8960 Springbrook Dr Nw, Coon Rapids, MN 55433-5852 | 2018-11-16 |
| 1740694520 | Katie Marie Anfinsen | Dentist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2014-06-19 |
| 1417101403 | Clarissa Ingebritson | Dental Hygienist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2008-11-04 |
| 1780838771 | Mary Roy | Dental Hygienist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2008-11-04 |
| 1124272117 | Jennifer Rethwisch | Dental Hygienist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2008-11-04 |
| 1043464035 | Neal Irion | Dental Hygienist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2008-11-04 |
| 1861646853 | Amie-jo Leshovsky | Dental Hygienist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2008-11-04 |
| 1770737769 | Jana Peterson | Dental Hygienist | 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 | 2008-11-04 |
| 1043477284 | Gina Torres | Dentist | 8960 Springbrook Dr Nw, Ste 150, Coon Rapids, MN 55433-5809 | 2008-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1578032793 | Thuy Nguyen | Dental Therapist | 8960 Springbrook Dr Nw, Coon Rapids, MN 55433-5852 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1376077974 | Saritha Gajawada | Dental Therapist | 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 | 2017-04-20 |
| 1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
| 1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.