Active NPI
John E Rainville, D.D.S.
- Dental Hygienist
- Rochester, MN
National Provider Identifier
1811060106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5638
- Practice address
- 212 1St Ave SW
Rochester, MN 55902-3144 - Phone
- (507) 285-1121
- Fax
- (507) 285-5384
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10159 | MN | |
| General Practice Dentistry | 1223G0001X | D10101 | MN | |
| Dental Hygienist | 124Q00000X | H5638 | MN | Primary |
Addresses
Primary practice location
212 1St Ave SW
Rochester, MN 55902-3144
Mailing address
212 1St Ave SW
Rochester, MN 55902-3144
Phone (507) 285-1121
Other names 1
- Dr. Deborrah J Nordblom
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 |
|---|---|---|---|
| D10101 | MN | MD | General Practice Dentistry |
| D10159 | MN | MD | General Practice Dentistry |
| H5638 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811060106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 1ST AVE SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559023144",
"telephone_number": "507-285-1121",
"fax_number": "507-285-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 1ST AVE SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559023144",
"telephone_number": "507-285-1121",
"fax_number": "507-285-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINVILLE",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D10159",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D10101",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H5638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORRAH",
"last_name": "NORDBLOM",
"middle_name": "J",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.