Jody Milbert Lundell, GDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5739-16 Issued in WI

Practice address

3664 Mount Vernon LN
Woodbury, MN 55129-9382

Phone

(414) 303-2550

NPI assigned

Dec 31, 2014

Last updated

Dec 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jody Ellen Milbert Former name

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": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1588052377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 MOUNT VERNON LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299382",
            "telephone_number": "414-303-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 MOUNT VERNON LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299382",
            "telephone_number": "414-303-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDELL",
        "first_name": "JODY",
        "middle_name": "MILBERT",
        "credential": "GDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5739-16",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H2738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "MILBERT",
            "middle_name": "ELLEN",
            "credential": "GDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abbegail Lynnda Luhrs
• Bailey Luna
• Blake S. Luna, PA-C
• Josefine Luna
• Olivia Lund
• Annie Marie Lutterman, RDH
• Beth M Lutz, PSYD, LP
• Monica Luu, CNP
• Luxottica of America Inc (Target Optical #4130)
• Luxottica of America Inc. (Lenscrafters #894)

• Dental Hygienist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.