DR. DOUGLAS JOLSTAD (NPI# 1912054685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912054685 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS JOLSTAD |
| Credential | DDS |
| Practice Address |
11601 Minnetonka Mills Rd Minnetonka MN 55305-5161 |
| Practice Telephone | 9529381443 |
| Mailing Telephone | 9529381443 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7094 | MN | Dental Providers |
| Street Address |
11601 MINNETONKA MILLS RD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275646168 | James Odin Olson | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2006-08-16 |
| 1043730237 | Kylie Marie Knapp | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2017-06-20 |
| 1629525449 | Brian Shragg | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2016-09-09 |
| 1649447749 | Kyle James Wilkes | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2008-05-08 |
| 1841323110 | Swanson & Walman Pa | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-03-14 |
| 1841337953 | James Carl Block | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-30 |
| 1376689869 | Douglas Alan Carter | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-30 |
| 1497802102 | Stephen R Nelson | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-04 |
| 1396892063 | Kimberly G Bohlig | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-04 |
| 1437206109 | Krestine K Tiziani | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649484502 | Joseph Samuel Basile IIi | Dentist | 17809 Hutchins Drive, Suite 101, Minnetonka, MN 55345 | 2007-05-10 |
| 1194939041 | Basile Orthodontics Pa | Dentist | 17809 Hutchins Drive, Suite 101, Minnetonka, MN 55345 | 2007-05-10 |
| 1073635926 | Michelle Louise Bergsrud | Dentist | 6060 Clearwater Dr, Suite 230, Minnetonka, MN 55343-9442 | 2007-04-04 |
| 1497802102 | Stephen R Nelson | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-04 |
| 1396892063 | Kimberly G Bohlig | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-04 |
| 1437206109 | Krestine K Tiziani | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2007-01-04 |
| 1376609412 | Gary Leroy Carlson | Dentist | 17809 Hutchins Dr, Ste 101, Minnetonka, MN 55345-4100 | 2006-12-30 |
| 1538225677 | Gary L. Carlson, D.d.s., P.a. | Dentist | 17809 Hutchins Dr, Ste 101, Minnetonka, MN 55345-4100 | 2006-12-30 |
| 1700940343 | Lake Minnetonka Orthdontics | Dentist | 11601 Minnetonka Mills Rd, Minnetonka, MN 55305-5161 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.