DR. MICHAEL W. JORGENSON (NPI# 1649343666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649343666 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL W. JORGENSON |
| Credential | DDS,MS,MBA |
| Practice Address |
7700 W. Old Shakopee Rd. Bloomington MN 55438-5788 |
| Mailing Address |
6020 Northwood Rdg Bloomington MN 55438-1281 |
| Practice Telephone | 9522887437 |
| Mailing Telephone | 9522887437 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
MN8356 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | FED TAX ID | 411381044 | 01 |
| MN | MN TAX ID | 5904177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952556565 | Michael Ryan Jorgenson | Dentist | 509 Olive Way Ste 1149, Seattle, WA 98101-1724 | 2008-11-24 |
| Street Address |
7700 W. OLD SHAKOPEE RD. |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| Find all providers in zip 55438 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770790248 | Patrick Lee Dunigan | Dentist | 221 E 7th St, Bloomington, IN 47408-3521 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021505 | Mohammed Adnen Akl | Dentist | 515 Delaware St Se # 9-176, Minneapolis, MN 55455-0357 | 2019-12-26 |
| 1811440738 | Eleni Voltidi | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2016-07-27 |
| 1669710380 | Gary Eugene Cook | Dentist | 12745 Woodcourt Ln, Minnetonka, MN 55343-8677 | 2013-01-31 |
| 1285915611 | Kendall William James | Dentist | 1060 27th Ave Se Apt F, Minneapolis, MN 55414-2773 | 2011-08-30 |
| 1023240074 | Jason Chong | Dentist | 515 Moos Health Science Tower, 9-176, Minneapolis, MN 55455 | 2009-08-10 |
| 1821206863 | David W. Twomey | Dentist | 825 Nicollet Mall Ste 829, Minneapolis, MN 55402-2604 | 2007-05-21 |
| 1417092016 | Edward Lawrence Olson | Dentist | 816 W St Germain St, Suite 502, St Cloud, MN 56301 | 2007-02-21 |
| 1396883146 | Jonathan Oliver Twomey | Dentist | 6600 France Ave S Ste 475, Edina, MN 55435-1804 | 2007-02-02 |
| 1265584213 | Christine L Hermanson | Dentist | 1055 Hwy 36 E, Maplewood, MN 55109 | 2007-01-18 |
| 1518030360 | Carlos Barrero | Dentist | School of Dentistry, Moos Tower, 515 Delaware St Se, Mpls, MN 55455 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
Please comment or provide details below to improve the information on DR. MICHAEL W. JORGENSON.
| 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.