Donte Mikael Jochum-Nesbitt, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D15025 Issued in MN

Practice address

14065 Essex Ave
Apple Valley, MN 55124-6857

Phone

(952) 423-1909

NPI assigned

Sep 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Smile Doctors of Minnesota PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albert Lea, MN
  • NPI 1255974325
  NPD (past)
• Unmc College of Dentistry

  • Dentist
  • Lincoln, NE
  • NPI 1649646746
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1467067017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 VIKINGS PKWY UNIT 300",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211937",
            "telephone_number": "309-292-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14065 ESSEX AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246857",
            "telephone_number": "952-423-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHUM-NESBITT",
        "first_name": "DONTE",
        "middle_name": "MIKAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D15025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patty Jensen, L.AC
• Elizabeth Ann Jeska
• Mulki Mohamed Jimale
• Jke Enterprises LLC
• Jocelyn Lian Pediatric Physical Therapy Services, LLC
• Jillian Johannes, PA-C
• John a. Loraas, PH.D., P.a.
• Kathryn Marie Johncox, LICSW
• Johnson Spinal Care Associates, P.a.
• Alexandra Johnson

• Orthodontics and Dentofacial Orthopedics Dentistry in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

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