Individual provider Active NPI

Molly Therese Verhelst

  • Dental Hygienist
  • Woodbury, MN
National Provider Identifier
1114112349
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H7029 Issued in MN
Practice address
1789 Woodlane Dr
Suite D
Woodbury, MN 55125-3910
Phone
(651) 738-1284
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H7029 MN Primary

Addresses

Primary practice location

1789 Woodlane Dr
Suite D
Woodbury, MN 55125-3910

Mailing address

1789 Woodlane Dr
Suite D
Woodbury, MN 55125-3910
Phone (651) 738-1284

Other names 1

  • Molly Therese Miller Former name

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

LicenseStateTypeSpecialty
H7029MNMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodgrove Dental PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1114112349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 WOODLANE DR",
            "address_2": "SUITE D",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253910",
            "telephone_number": "651-738-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 WOODLANE DR",
            "address_2": "SUITE D",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253910",
            "telephone_number": "651-738-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHELST",
        "first_name": "MOLLY",
        "middle_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H7029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MILLER",
            "middle_name": "THERESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.