JASON M ALLRED (NPI# 1043558984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043558984 |
| Entity Type | Individual |
| Full Name | JASON M ALLRED |
| Practice Address |
206 1st St Se Wadena MN 56482-1561 |
| Mailing Address |
91 Putter Ln Wadena MN 56482-8900 |
| Practice Telephone | 2186314431 |
| Mailing Telephone | 2183711820 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | DT20 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417998162 | Jason D Allred | Physical Therapist | 1588 W Cayuse Creek Dr, Ste 110, Meridian, ID 83646-4795 | 2006-06-10 |
| 1033590534 | Jason Allred | Dentist | 743 S 8th St, Griffin, GA 30224-4818 | 2015-06-11 |
| Street Address |
206 1ST ST SE |
| City | WADENA |
| State | MN |
| Zip Code | 56482-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902883614 | Ryan L Anderson | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2005-12-23 |
| 1780178277 | Kale Hermanson | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2018-06-18 |
| 1912246315 | Woodland Dental Inc. | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2013-02-05 |
| 1235467473 | Reuter Family Dentistry, L.L.C. | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2009-11-30 |
| 1558564229 | Heidi Christine Reuter | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2007-06-08 |
| 1982779989 | James H Matthiae | Dentist | 206 1st St Se, Wadena, MN 56482-1561 | 2006-11-22 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1255312013 | Alfredmy G Chessor | General Practice | 4 Deerwood Ave Nw, Wadena, MN 56482 | 2005-11-09 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| 1609474436 | Danelle Mary Vandermay | Pharmacist | 100 Juniper Ave, Wadena, MN 56482-1041 | 2020-10-14 |
| Find all providers in zip 56482 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.