JENNA JOHNSON (NPI# 1538692595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538692595 |
| Entity Type | Individual |
| Full Name | JENNA JOHNSON |
| Credential | MDT |
| Practice Address |
1790 7th St E Saint Paul MN 55119 |
| Mailing Address |
8718 Quarry Ridge Ln Unit D Woodbury MN 55125-7523 |
| Practice Telephone | 6517350521 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | DT80 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154776136 | Jenna Johnson | Speech-Language Pathologist | 2035 Regency Rd Ste 5, Lexington, KY 40503-2333 | 2016-04-27 |
| 1124228911 | Jenna Lynn Johnson | Emergency Medicine | 1041 Ashmore Ln, Birmingham, AL 35242-2464 | 2007-07-20 |
| 1518578285 | Jenna Johnson | Pharmacist | 3100 Thomas St, Memphis, TN 38127-6005 | 2020-08-14 |
| 1861018533 | Jenna A Johnson | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2020-06-18 |
| 1285257758 | Jenna Catherine Johnson | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1124505029 | Jenna Lynn Johnson | Registered Nurse | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2018-07-24 |
| 1801303466 | Jenna Johnson | Physical Therapy Assistant | 1731 17th Ave, Bloomer, WI 54724-1512 | 2018-01-04 |
| 1518406214 | Jenna Johnson | Counselor | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2017-02-15 |
| 1245607613 | Jenna Johnson | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2015-09-01 |
| 1700269990 | Jenna Johnson | Optometrist | 1708 E 23rd Ave, Hutchinson, KS 67502-1114 | 2015-07-07 |
| Street Address |
1790 7TH ST E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780794115 | David Robert Maki | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2006-08-30 |
| 1972111557 | Shady Girgis | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2020-07-20 |
| 1346807500 | Tung Thi Thanh Luong | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2019-05-23 |
| 1760978647 | Diksha K Sheth | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2018-07-03 |
| 1588194567 | Kathleen Van Thieu | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2017-06-13 |
| 1114324951 | Dental Associates of St. Paul Pa | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2014-11-21 |
| 1528320496 | Sara Lynn Duenes | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2012-06-15 |
| 1134415763 | Mildred Collazo | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2011-06-22 |
| 1457646408 | Jennifer Alejandra Schmit | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2011-06-16 |
| 1669792388 | Sanaz Lavasani | Dentist | 1790 7th St E, Saint Paul, MN 55119-3419 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520307 | Restorative Healing & Counseling, LLC | Social Worker | 385 Londin Place, St. Paul, MN 55119 | 2020-02-13 |
| 1891282059 | Tyller Robert | Specialist/Technologist | 2594 Montana Ave E, Maplewood, MN 55119 | 2018-04-13 |
| 1477081032 | Katarzyna Zelichowski | Dentist | 1790 7th St. E, St.paul, MN 55119 | 2017-05-26 |
| 1952769333 | Rufus Zarzar | Non-emergency Medical Transport (VAN) | 230 Kipling St S # C6, St Paul, MN 55119 | 2016-02-01 |
| 1144611427 | Eric Michael Weisnicht | Chiropractor | 165 Mcknight Road N, Apt 105, Saint Paul, MN 55119 | 2015-02-09 |
| 1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1528391976 | Kc Healthcare Services | Home Health | 295 Mcnight Road South, St Paul, MN 55119 | 2009-09-16 |
| 1073759510 | Life Fountain Home Health Care Inc | Home Health | 1380 Currie St N, Maplewood, MN 55119 | 2009-01-06 |
| 1295858991 | Dental Delivery Systems St Paul, Pa | Dentist | 1790 7th Street E., St. Paul, MN 55119 | 2007-04-09 |
| Find all providers in zip 55119 | ||||
| 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 |
|---|---|---|---|---|
| 1588220677 | Scott Michael Danzl | Dental Therapist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2019-05-14 |
| 1295266476 | Andrew Halverson | Dental Therapist | 450 Syndicate St N, #300, Saint Paul, MN 55104-4107 | 2017-03-21 |
| 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 | ||||
| City | SAINT PAUL |
| Zip Code | 55119 |
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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.