Active NPI
Jennifer Louise Knowlen, RDH
- Dental Hygienist
- Bemidji, MN
National Provider Identifier
1508155953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H8416
- Practice address
- 1405 Anne St NW
Bemidji, MN 56601-5113 - Phone
- (218) 444-9646
- NPI assigned
- Apr 6, 2011
- Last updated
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H8416 | MN | Primary |
Addresses
Primary practice location
1405 Anne St NW
Bemidji, MN 56601-5113
Mailing address
23400 450TH Ave
Aitkin, MN 56431-4837
Phone (218) 838-2469
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
| License | State | Type | Specialty |
|---|---|---|---|
| H8416 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1508155953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23400 450TH AVE",
"city": "AITKIN",
"state": "MN",
"postal_code": "564314837",
"telephone_number": "218-838-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015113",
"telephone_number": "218-444-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLEN",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H8416",
"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 Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.