DR. JESSICA MINTIE KLOENNE (NPI# 1891179875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891179875 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MINTIE KLOENNE |
| Credential | D.M.D. |
| Practice Address |
511 Sw 10th Ave Ste 804 Portland OR 97205-2732 |
| Mailing Address |
511 Sw 10th Ave Ste 804 Portland OR 97205-2709 |
| Practice Telephone | 5032432505 |
| Mailing Telephone | 5032432505 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10301 | OR | Dental Providers |
| Street Address |
511 SW 10TH AVE STE 804 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146307 | Michael Charles Royse | Dentist | 511 Sw 10th Ave, Suite #810, Portland, OR 97205-2732 | 2005-07-05 |
| 1861049835 | Jennifer Larson | Counselor | 511 Sw 10th Ave, Portland, OR 97205-2732 | 2019-08-23 |
| 1720528235 | Jessica Lyn Collins | Massage Therapist | 511 Sw 10th Ave, Suite 610, Portland, OR 97205-2732 | 2017-03-02 |
| 1205378858 | Lilyan Charlotte Russel Smith-moore | Counselor | 511 Sw 10th Ave, #601, Portland, OR 97205-2732 | 2016-11-14 |
| 1184073496 | Julia Richfield | Specialist | 511 Sw 10th Ave, 1108, Portland, OR 97205-2732 | 2016-06-07 |
| 1821463050 | Fox Kids Dentistry & Orthodontics | Dentist | 511 Sw 10th Ave, Suite 810, Portland, OR 97205-2732 | 2015-12-14 |
| 1477927580 | Jacquelin Perry | Massage Therapist | 511 Sw 10th Ave, Ste 610, Portland, OR 97205-2732 | 2015-12-01 |
| 1912382078 | Dana Fox | Dentist | 511 Sw 10th Ave, Ste 810, Portland, OR 97205-2732 | 2015-07-29 |
| 1336524206 | Drew Barrios | Specialist | 511 Sw 10th Ave, Suite 1108, Portland, OR 97205-2732 | 2015-07-21 |
| 1346631124 | Laura Kathryn Hanson | Massage Therapist | 511 Sw 10th Ave, Ste 1108, Portland, OR 97205-2732 | 2015-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| 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 |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1255975561 | Michigan Sleep Solutions LLC | Dentist | 8037 Abbey Rd., Portland, MI 48875-9774 | 2019-10-30 |
| 1073162699 | Ryan Douglas Mccormick | Dentist | 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 | 2019-09-06 |
| 1255989497 | Owen Ritter Lund | Dentist | 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 | 2019-08-30 |
| 1023663119 | Xiaochen Zhou | Dentist | 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 | 2019-08-06 |
| 1598223919 | Portland Modern Dentistry | Dentist | 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 | 2019-03-05 |
| 1922571942 | Rashmi, LLC | Dentist | 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 | 2019-01-03 |
| 1053891051 | Waleed Almulla | Dentist | 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 | 2018-08-19 |
| 1558848333 | Kelsey Mcevoy | Dentist | 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 | 2018-07-24 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on DR. JESSICA MINTIE KLOENNE.
| 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.