PATRICIA KOERNER


Address: 107 Dupont Ave. Nw, Renville, MN 56284
Phone: 9522126756

PATRICIA KOERNER (NPI# 1790193407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790193407
Entity Type Individual
Full Name PATRICIA KOERNER
Practice Address 107 Dupont Ave. Nw
Renville
MN 56284
Mailing Address 6056 Bartlett Blvd
Mound
MN 55364
Practice Telephone 9522126756
Enumeration Date 2014-07-25
Last Update Date 2014-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist DT47 MN Dental Providers

Other Providers PATRICIA KOERNER

NPI Name Taxonomy Address Enumeration
1154870384 Patricia Pauline Koerner Nurse Practitioner 245 N Causeway, New Smyrna Beach, FL 32169-5239 2016-09-29
1578636445 Patricia Ann Koerner Occupational Therapist 17352 Vinewood Ave, Tustin, CA 92780-2551 2006-11-16

Office Location

Street Address 107 DUPONT AVE. NW
City RENVILLE
State MN
Zip Code 56284

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225234586 Christopher Dean Lindquist Dentist 107 Dupont Ave. Nw, Renville, MN 56284 2007-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205444106 Sidra Zahooruddin Dentist 107 Dupont Ave, Nw, Renville, MN 56284 2020-07-16
1104363829 Stephanie Ashburn Social Worker 314 Colfax Ave Nw, Renville, MN 56284 2017-01-20
1396055976 Heather Bickford Dentist 107 Dupont Ave Nw, Renville, MN 56284 2010-10-15
1194998849 Jeremy Steven Hinderks Chiropractor 317 N Main Street, Renville, MN 56284 2008-04-02
1578579371 Renville Ambulance Service, Inc Ambulance 115 E Park Ave, Renville, MN 56284 2006-08-01
1073940771 Hinderks Chiropractic, P.a. Chiropractor 317 N Main St., Renville, MN 56284 2013-09-26
1679853451 Modern Dental Professionals, Mn PC Dentist 107 Dupont Ave Nw, Renville, MN 56284 2011-08-24
1164484226 Renville County Hospital & Clinics Clinic/Center 420 Main St, Renville, MN 56284 2006-04-04
1609176049 Wendie Lee Discher Counselor 316 Park Ave East, Renville, MN 56284-0001 2010-11-02
1558608356 Discher & Associates, Life Center P.l.l.c Counselor 317 North Main Street, Renville, MN 56284-0001 2013-01-14
Find all providers in zip 56284

Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City RENVILLE
Zip Code 56284

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Dataset Information

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.

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