Jonathan Kluxdal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14833 Issued in MN

Practice address

10700 France Ave S Ste 102
Bloomington, MN 55431-3693

Phone

(952) 679-3531

NPI assigned

Sep 22, 2022

Sex

Male

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

Enrolled in MN

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.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Bloomington Smiles Dentistry, PC

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1710344494
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1073236154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 COLORADO RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 FRANCE AVE S STE 102",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313693",
            "telephone_number": "952-679-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUXDAL",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Joy Klingbeil
• Taylor Lorraine Klisch
• Ian Michael Klotz, MD
• Katherine Klouda, RD
• Kristy Kluver, FNP-C
• Oji Knight
• Whitney Lynn Knight
• Jordan Jace Knowlton-Key, DC
• Patrick Koch, MA
• Stephanie Lynn Koch

• Dentist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.