Akon K Dethl

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3111 124TH Ave NW
Coon Rapids, MN 55433-4572

Phone

(763) 272-5877

NPI assigned

Jan 31, 2025

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1033922133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 124TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 124TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334572",
            "telephone_number": "763-272-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETHL",
        "first_name": "AKON",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Specialists of Minnesota, PLLC
• Kailee A Derby
• Laura Michelle Derosier-Moran, MA
• Holly A Derouchey, PT
• Charles Vincent Derubeis, M.D.
• Adam Sean Devine, MD
• Crystal M Dexter, MD
• Nirvan K Dharampaul, DPT
• Dial a Carer
• Dianne G Lefty

• Behavior Technician in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.