Layton Mikkalson, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D14449 Issued in MN

Practice address

15535 34TH Ave N Ste 200
Plymouth, MN 55447-2170

Phone

(763) 233-3359

NPI assigned

Aug 7, 2020

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1497365134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15535 34TH AVE N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554472170",
            "telephone_number": "763-233-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15535 34TH AVE N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554472170",
            "telephone_number": "763-233-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKALSON",
        "first_name": "LAYTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D14449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduard Michel, MD, PHD
• Peter Louis Michelich, D.D.S.
• Crystal Micoley, DC
• Midwest Immunology Clinics, PLLC
• Midwest Physical Therapy LLC
• Shanna Miko, MSN RN-BC CPN CCRN
• Joanna Marie Miles
• Mary Z Miley
• Millennium Home Care
• Ahna Xiaofan Miller

• Endodontics in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.