Individual provider Active NPI

Jens Huseby, DMD

  • General Practice Dentistry
  • Bemidji, MN
National Provider Identifier
1487546685
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15368 Issued in MN
Practice address
110 Mag Seven CT SW Ste 220
Bemidji, MN 56601-4678
Phone
(218) 333-8668
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 D15368 MN Primary

Addresses

Primary practice location

110 Mag Seven CT SW Ste 220
Bemidji, MN 56601-4678

Mailing address

7330 Tall Pines Rd NE Unit a
Bemidji, MN 56601-7041
Phone (218) 407-0643

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

LicenseStateTypeSpecialty
D15368MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1487546685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 TALL PINES RD NE UNIT A",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566017041",
            "telephone_number": "218-407-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAG SEVEN CT SW STE 220",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014678",
            "telephone_number": "218-333-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEBY",
        "first_name": "JENS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.