JENNY MEYERS (NPI# 1891233748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891233748 |
| Entity Type | Individual |
| Full Name | JENNY MEYERS |
| Practice Address |
4243 4th Ave S Minneapolis MN 55409-2113 |
| Mailing Address |
9778 180th St E Hastings MN 55033-9532 |
| Practice Telephone | 6128229030 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | DT79 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 675 E Nicollet Blvd Ste 255, Burnsville, MN 553376768 | 9528926222 |
| Street Address |
4243 4TH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55409-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528090420 | Michelle Elizabeth Taylor | Optometrist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2006-07-07 |
| 1679033252 | Sheli Kaye Parkison | Dental Therapist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2019-03-21 |
| 1467939629 | Rachel Marie Carpino | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2018-07-20 |
| 1831618073 | Mohiuddin Quadri | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2017-09-19 |
| 1801336433 | Jayme Jo Noeske | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2017-03-01 |
| 1457765349 | Long Thao | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2014-06-18 |
| 1447538608 | Jonee Elizabeth Meagher | Optometrist | 4243 4th Ave S, Minneapolis, MN 55409 | 2011-07-21 |
| 1639466485 | Sylvia Maria Cuellar | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2011-06-30 |
| 1083841621 | Mary Louise Truchon | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2009-06-22 |
| 1366600835 | Nicoleta Terezia Agrigoroae Bolos | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629575493 | Twin Cities Music Therapy Services, LLC | Music Therapist | 3754 Pleasant Ave S., #105, Minneapolis, MN 55409 | 2018-04-09 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1093144750 | Nicole Pattee | Social Worker | 3751 Nicollet Ave, Minneapolis, MN 55409 | 2013-11-04 |
| 1598817678 | City of Minneapolis | Clinic/Center | 3131 19th Avenue South, Room 122, Minneapolis, MN 55409 | 2007-01-17 |
| 1366544587 | Robert C Shepherd | Chiropractor | 2415 Hennepin Ave S, Minneapolis, MN 55409 | 2006-09-01 |
| 1922563600 | Karlene Manitowich | Chiropractor | 3706 Nicollet Ave, Minneapolis, MN 55409 | 2019-02-06 |
| 1508385246 | Jessica Lynn Dahlton | Acupuncturist | 708 W 40th St, Minneapolis, MN 55409 | 2017-09-13 |
| 1508395575 | Daniel Scott Ronken | Counselor | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2017-06-05 |
| 1760532683 | Larry G Tucker | Marriage & Family Therapist | 310 E 38th St, Suite 320, Minneapolis, MN 55409 | 2007-01-11 |
| 1316232259 | David A Marty | Chiropractor | 1015 W 37th St, Minneapolis, MN 55409-1007 | 2011-06-17 |
| Find all providers in zip 55409 | ||||
| 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 |
|---|---|---|---|---|
| 1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
| 1568074607 | Abdulkadir Egeh | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-08-19 |
| 1033729033 | Annalise Wallerich | Dental Therapist | 2232 Hennepin Ave, Minneapolis, MN 55405-2737 | 2020-08-04 |
| 1679033252 | Sheli Kaye Parkison | Dental Therapist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2019-03-21 |
| 1386146942 | Julie Marie Klemond | Dental Therapist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2018-02-28 |
| 1073013322 | Nicole Mathew | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-13 |
| 1134637143 | Lucky Vang | Dental Therapist | 2228 E Lake St, Minneapolis, MN 55407-4321 | 2018-01-12 |
| 1679962708 | Verny Martinez | Dental Therapist | 2232 Hennepin Ave, Minneapolis, MN 55405-2737 | 2015-01-13 |
| 1114315678 | Teresa Bushnell | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2015-01-06 |
| 1124416789 | Trina Courtright | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2015-01-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55409 |
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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.