Melanee Ann Lundgren Chmiel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11866 Issued in MN

Practice address

301 El Dorado Dr
Jordan, MN 55352-1584

Phone

(952) 492-2021

NPI assigned

May 24, 2013

Last updated

May 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jordan Family Dental PLLC

  • General Practice Dentistry
  • Jordan, MN
  • NPI 1255024295
  NPD (past)

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1780021279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EL DORADO DR",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EL DORADO DR",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521584",
            "telephone_number": "952-492-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIEL",
        "first_name": "MELANEE",
        "middle_name": "ANN LUNDGREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Breanne Anderson
• Mary Bauer, MA, LADC, MFT INTERN
• Sally Irene Beck, LMFT, PHD
• Nelly Esther Bonilla Bonilla, PSYD, LP
• Chiropractic Specialists, Inc.
• Linda Dols Clausen, LMFT
• Alexis Marie Collins
• Community Birth Group
• Charles R Cook, D. C.
• Tayler Rochelle Cornell, RN

• General Practice Dentistry in Jordan, MN
• Providers in Jordan, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.