Jason Jon Thimjon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13088 Issued in MN

Practice address

15180 Chippendale Ave W
Rosemount, MN 55068-3356

Phone

(651) 423-1900

NPI assigned

Apr 23, 2012

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

Locations

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.

• JT Dental Group PLLC

  • General Practice Dentistry
  • Rosemount, MN
  • NPI 1124618962
  NPD Authorized official

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1205193695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15180 CHIPPENDALE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683356",
            "telephone_number": "651-423-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15180 CHIPPENDALE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683356",
            "telephone_number": "651-423-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Nicollet Boulevard West",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374524",
            "country_code": "US",
            "telephone_number": "952-898-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIMJON",
        "first_name": "JASON",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Testa, MSW, LICSW
• Kalkidan Marekegn Tewodros
• Hannah Brigit Tharayil, PHARMD
• The Maxwell House
• Abigail Thebault-Spieker
• Coral May Thomas-Prokasky, LPN
• Gwynneth Victoria Faith Thompson
• Matthew Theodore Thronson, D.C.
• True North Behavioral Health
• Shanyn Tuftee, PT

• General Practice Dentistry in Rosemount, MN
• Providers in Rosemount, 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 Jun 3, 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.