Active NPI
Jodi Lynn Amdahl, ADT/RDH
- Advanced Practice Dental Therapist
- Redwood Falls, MN
National Provider Identifier
1407000490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Dental Therapist
- License
- DT5
- Practice address
- 590 W Park Road
Redwood Falls, MN 56283 - Phone
- (507) 637-3581
- Fax
- (507) 627-8894
- NPI assigned
- Nov 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H7202 | MN | |
| Advanced Practice Dental Therapist | 125K00000X | DT5 | MN | Primary |
Addresses
Primary practice location
590 W Park Road
Redwood Falls, MN 56283
Mailing address
210 4TH Street, PO Box 272
Balaton, MN 56115
Phone (507) 276-1115
Other names 1
- Jodi Lynn Hager
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 |
|---|---|---|---|
| H7202 | MN | MD | Dental Hygienist |
| DT5 | MN | MD | Advanced Practice Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1407000490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 4TH STREET, PO BOX 272",
"city": "BALATON",
"state": "MN",
"postal_code": "56115",
"telephone_number": "507-276-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 W PARK ROAD",
"city": "REDWOOD FALLS",
"state": "MN",
"postal_code": "56283",
"telephone_number": "507-637-3581",
"fax_number": "507-627-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMDAHL",
"first_name": "JODI",
"middle_name": "LYNN",
"credential": "ADT/RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H7202",
"primary": false
},
{
"code": "125K00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Dental Therapist",
"state": "MN",
"license": "DT5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "HAGER",
"middle_name": "LYNN",
"credential": "ADT/RDH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redwood Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.