Angela Lou Monson, DT, RDH

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT170 Issued in MN

Practice address

150 South Rd
Mankato, MN 56001-7046

Phone

(507) 389-2147

Fax

(507) 389-5850

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Minnesota State University

  • Local Education Agency (LEA)
  • Mankato, MN
  • NPI 1972683183
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1437103272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTH RD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017046",
            "telephone_number": "507-389-1313",
            "fax_number": "507-389-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTH RD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017046",
            "telephone_number": "507-389-2147",
            "fax_number": "507-389-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSON",
        "first_name": "ANGELA",
        "middle_name": "LOU",
        "credential": "DT, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H5958",
            "primary": false
        },
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Jerome Moldan, D.C.
• Andrea Noelle Moldstad, DNP, APRN, FNP-C
• Moments Hospice of Mankato LLC
• Kari Jeane Mongeon Wahlen, AGCNS-BC
• Jessica M Monsen, PA C
• Taylor Marie Montbriand, MS, LPCC
• Luke L Montgomery
• Daeja Genevieve Essie Moore
• Heather Moore
• Linnea Mary Moore, BA

• Dental Therapist in Mankato, MN
• Providers in Mankato, MN by specialty
• Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.