Holly Rae Jorgensen, COLLABORATIVE RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H8035 Issued in MN

Practice address

155 Oakdale St
Owatonna, MN 55060-4216

Phone

(507) 455-4063

NPI assigned

Jul 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Holly Rae Blanchard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Let'S Smile, Inc.

  • Dental Hygienist
  • Owatonna, MN
  • NPI 1295169662
  NPD (past) Authorized official

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1306287032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 OAKDALE ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604216",
            "telephone_number": "507-455-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 OAKDALE ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604216",
            "telephone_number": "507-455-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "HOLLY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "COLLABORATIVE RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H8035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "letssmile@outlook.com",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "155 Oakdale St",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550604216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BLANCHARD",
            "middle_name": "RAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole A Johnston, P.A.
• April Lee Jones, ND
• Elizabeth Rose Jones, LICSW
• Gregory Carl Jones, MD
• Jenny Lynn Jorgensen-Kuphal, MA
• Katie Juaire, OTR/L
• Scott E Julian, MD
• Leann Marie Kahl, MS, LPCC, NCC
• Kaplan Woods Care Home
• Kaplan Woods LLC

• Dental Hygienist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.