Individual provider Active NPI

Jodie Otremba Yildirim, DDS

  • General Practice Dentistry
  • Rochester, MN
National Provider Identifier
1437445210
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13001 Issued in MN
Practice address
5814 Sandcherry PL NW
Rochester, MN 55901-3469
Phone
(734) 626-0051
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13001 MN Primary

Addresses

Primary practice location

5814 Sandcherry PL NW
Rochester, MN 55901-3469

Mailing address

5814 Sandcherry PL NW
Rochester, MN 55901-3469
Phone (734) 626-0051

Other names 1

  • Jodie Nicole Otremba Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1437445210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 SANDCHERRY PL NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013469",
            "telephone_number": "734-626-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 SANDCHERRY PL NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013469",
            "telephone_number": "734-626-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YILDIRIM",
        "first_name": "JODIE",
        "middle_name": "OTREMBA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "OTREMBA",
            "middle_name": "NICOLE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.