Julie Ann Nyland, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11153 Issued in MN

Practice address

165 19TH St S
Suite 101
Sartell, MN 56377-2153

Phone

(320) 253-9072

Fax

(320) 255-5413

NPI assigned

Mar 26, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 11, 2016 through Feb 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Arts Dental

  • General Practice Dentistry
  • Sartell, MN
  • NPI 1063530194
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1003934324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-253-9072",
            "fax_number": "320-255-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-253-9072",
            "fax_number": "320-255-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYLAND",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Jasmin Dakotalynn Novacinski
• Jennifer Novak
• Vicki Lynn Novak, PA
• Ashley Lynn Nuehring
• James O'Bando
• Megan Lavon O'Leary
• Patrick M. Oakes, M.D.
• Tayler Lauren Ochsendorf
• Alyssa J Ohman, DC

• General Practice Dentistry in Sartell, MN
• Providers in Sartell, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.