Individual provider Active NPI

Dallas Edward McLochlin

  • Registered Dietitian
  • Minneapolis, MN
National Provider Identifier
1285581157
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
086431942
Practice address
310 4TH Ave S Ste 5010
Minneapolis, MN 55415-1053
Phone
(612) 502-4029
NPI assigned
Mar 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 086431942 Primary

Addresses

Primary practice location

310 4TH Ave S Ste 5010
Minneapolis, MN 55415-1053

Mailing address

14015 Broadripple PL
Louisville, KY 40299-5079
Phone (502) 438-4750

Other practice location 1

3250 W 66th St Apt 548
Edina, MN 55435-5514
Phone (612) 502-4029

Other practice location 2

609 E Main St
Purcellville, VA 20132-4500
Phone (612) 502-4029

Other names 1

  • Dallas Edward McClochlin Other 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

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1285581157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 BROADRIPPLE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995079",
            "telephone_number": "502-438-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 4TH AVE S STE 5010",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151053",
            "telephone_number": "612-502-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 W 66th St Apt 548",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554355514",
            "country_code": "US",
            "telephone_number": "612-502-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 E Main St",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201324500",
            "country_code": "US",
            "telephone_number": "612-502-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLOCHLIN",
        "first_name": "DALLAS",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "086431942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALLAS",
            "last_name": "MCCLOCHLIN",
            "middle_name": "EDWARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.