Active NPI
Dallas Edward McLochlin
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1285581157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.