DR. JOAN MARIE JAKUBAS (NPI# 1093806598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093806598 |
| Entity Type | Individual |
| Full Name | DR. JOAN MARIE JAKUBAS |
| Credential | D.D.S. |
| Practice Address |
4721 Hiawatha Ave Minneapolis MN 55406-3928 |
| Practice Telephone | 6127213012 |
| Practice Fax Number | 6127215106 |
| Mailing Telephone | 6127213012 |
| Mailing Fax Number | 6127215106 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10142 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 012466 | 01 |
| MA | BLUE CROSS BLUE SHIELD MA | Z97489 | 01 |
| MN | BLU CROSS BLUE SHIELD MN | 45616JA | 01 |
| MN | UNITED CONCORDIA | 836516 | 01 |
| Street Address |
4721 HIAWATHA AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376929208 | Sunrise Place LLC | Substance Abuse Rehabilitation Facility | 4721 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2015-08-03 |
| 1811375397 | Hope Health Care, Inc | Clinic/Center | 4721 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2015-05-15 |
| 1497133169 | Grace Travel LLC | Non-emergency Medical Transport (VAN) | 4721 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2015-05-13 |
| 1770979601 | Hope Health Care, Inc. | Counselor | 4721 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2015-04-07 |
| 1104977222 | Jakubas Dental Clinic,ltd. | Dentist | 4721 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1871150417 | Muktar Farah | Dentist | 115 Broadway St Ne, Minneapolis, MN 55413-1805 | 2019-05-20 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1811483795 | Minnesota Durable Medical Equipment LLC | Dentist | 15600 36th Ave N Ste 270, Minneapolis, MN 55446-3372 | 2018-07-03 |
| 1871010165 | Mayank Shrivastava | Dentist | 515 Delaware St Se # 6-320, Minneapolis, MN 55455-0357 | 2017-08-28 |
| 1659808079 | Christopher David Carvalho | Dentist | 515 Delaware St Se Fl 7, Minneapolis, MN 55455-0357 | 2017-05-16 |
| 1821449133 | Yannie Chea | Dentist | 616 Washington Ave Se Apt 213, Minneapolis, MN 55414-2998 | 2016-06-28 |
| 1245688969 | Daniel Jabs | Dentist | 7-368 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2016-06-03 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
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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.