Active NPI
Julie Marie Klemond, DT
- Dental Therapist
- Minneapolis, MN
National Provider Identifier
1386146942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT10P
- Practice address
- 2001 Bloomington Ave
Minneapolis, MN 55404-3074 - Phone
- (612) 301-3433
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT10P | MN | Primary |
Addresses
Primary practice location
2001 Bloomington Ave
Minneapolis, MN 55404-3074
Mailing address
15608 Willowood Dr
Minnetonka, MN 55345-5532
Phone (608) 769-2671
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT10P | MN | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1386146942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15608 WILLOWOOD DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455532",
"telephone_number": "608-769-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BLOOMINGTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043074",
"telephone_number": "612-301-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMOND",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "DT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT10P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.