Blue Jay Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BLUE JAY FAMILY DENTISTRY PLLC

Practice address

1975 11TH Ave E
Maplewood, MN 55109-5148

Phone

(507) 696-3303

NPI assigned

Aug 13, 2025

Organization subpart

No

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

Authorized official

Name

Nickolas Felten, DDSNPI 1497323711

Title

Owner Dentist

Phone

(507) 696-3303

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nickolas Felten, D.D.S

  • General Practice Dentistry
  • Forest Grove, OR
  • NPI 1497323711
  NPD Authorized official

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1952287146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 11TH AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 11TH AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095148",
            "telephone_number": "507-696-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE JAY FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "FELTEN",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "507-696-3303",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Albert Birkland IV, M.A.
• Julie Lynn Bjork, CRNA
• Steven Mark Blazing Jr., BS, LSW
• Margaret Blessing
• Nancy Blonigen, MD
• Kofi Boadu-Mensah
• Adaline Boden, OTR/L
• Amanda Boettger, PA-C
• Bold Steps Therapy & Support Inc
• Connor Bolduc

• Dentist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.