Active NPI
Julie L. Demarte, RDH
- Dental Hygienist
- Duluth, MN
National Provider Identifier
1104839372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- GH24
- Practice address
- 4325 Grand Ave
Duluth, MN 55807-2730 - Phone
- (218) 628-7035
- Fax
- (218) 624-6594
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4500 | WI | |
| Dental Hygienist | 124Q00000X | GH24 | MN | Primary |
Addresses
Primary practice location
4325 Grand Ave
Duluth, MN 55807-2730
Mailing address
2222 E 5TH St
Superior, WI 54880-3709
Phone (715) 394-5411
Other practice location 1
2222 E 5th St
Superior, WI 54880-3709
Phone (715) 394-5411
Other practice location 2
210 3rd St
Carlton, MN 55718-7703
Phone (218) 336-3524
Other names 1
- Julie L. Follis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GH24 | MN | MD | Dental Hygienist |
| 4500 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1104839372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 E 5TH ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548803709",
"telephone_number": "715-394-5411",
"fax_number": "715-392-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072730",
"telephone_number": "218-628-7035",
"fax_number": "218-624-6594"
}
],
"practiceLocations": [
{
"address_1": "2222 E 5th St",
"address_purpose": "LOCATION",
"city": "Superior",
"state": "WI",
"postal_code": "548803709",
"country_code": "US",
"telephone_number": "715-394-5411",
"fax_number": "715-392-5086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 3rd St",
"address_purpose": "LOCATION",
"city": "Carlton",
"state": "MN",
"postal_code": "557187703",
"country_code": "US",
"telephone_number": "218-336-3524",
"fax_number": "218-384-9002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARTE",
"first_name": "JULIE",
"middle_name": "L.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "4500",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "GH24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "FOLLIS",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.