Individual provider Active NPI

Ashley C Joki, ADT

  • Advanced Practice Dental Therapist
  • Hibbing, MN
National Provider Identifier
1821724394
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
DT062 Issued in MN
Practice address
802 W 42ND St
Hibbing, MN 55746-1747
Phone
(218) 263-8381
Fax
(218) 263-8383
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Therapist 125J00000X DT062 MN
Advanced Practice Dental Therapist 125K00000X DT062 MN Primary

Addresses

Primary practice location

802 W 42ND St
Hibbing, MN 55746-1747

Mailing address

802 W 42ND St
Hibbing, MN 55746-1747
Phone (218) 263-8381

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

LicenseStateTypeSpecialty
DT062MNMDAdvanced Practice Dental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Service of Northern Minnesota PA CurrentSince Aug 28, 2022 Accepting new patients

Locations

802 W 42nd St
Hibbing, MN 55746
Phone (218) 263-8381

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1821724394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W 42ND ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461747",
            "telephone_number": "218-263-8381",
            "fax_number": "218-263-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W 42ND ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461747",
            "telephone_number": "218-263-8381",
            "fax_number": "218-263-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKI",
        "first_name": "ASHLEY",
        "middle_name": "C",
        "credential": "ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT062",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "MN",
            "license": "DT062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.