Active NPI
Jessica Lynn Dahlton, LAC
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1508385246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1874
- Practice address
- 708 W 40TH St
Minneapolis, MN 55409 - Phone
- (612) 205-4028
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1874 | MN | Primary |
Addresses
Primary practice location
708 W 40TH St
Minneapolis, MN 55409
Mailing address
5305 26TH Ave S
Minneapolis, MN 55417-1923
Phone (612) 205-4028
Other practice location 1
2505 SE 11th Ave Ste 268
Portland, OR 97202-1063
Phone (503) 477-7362
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 |
|---|---|---|---|
| 1874 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1508385246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 26TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171923",
"telephone_number": "612-205-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 W 40TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55409",
"telephone_number": "612-205-4028"
}
],
"practiceLocations": [
{
"address_1": "2505 SE 11th Ave Ste 268",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972021063",
"country_code": "US",
"telephone_number": "503-477-7362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHLTON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.