Michael W. Jorgenson, DDS,MS,MBA

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

MN8356 Issued in MN

Practice address

7700 W. Old Shakopee Rd.
Bloomington, MN 55438-5788

Phone

(952) 288-7437

NPI assigned

Nov 16, 2006

Last updated

Mar 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1649343666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 NORTHWOOD RDG",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381281",
            "telephone_number": "952-288-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W. OLD SHAKOPEE RD.",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554385788",
            "telephone_number": "952-288-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS,MS,MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MN",
            "license": "MN8356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "411381044",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN TAX ID",
            "identifier": "5904177",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Jones
• Robert T Jones
• Shadonna Lynn Jones, BIRTH DOULA
• Kayla Marie Jorgensen-Hansen
• Andre Christian Jorgensen
• Samir Ashwin Joshi, MD
• Sandhya Joshi, MD
• Journey2Therapy
• Christian Invictus Jovanovic, DACM, L.AC
• Joytocare Home Services

• Prosthodontics in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Prosthodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.