Individual provider Active NPI

Sharlene Kae Dejongh Arnason, DDS

  • General Practice Dentistry
  • Stillwater, MN
National Provider Identifier
1962523969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11475 Issued in MN
Practice address
1395 Curve Crest Blvd W
Stillwater, MN 55082-6069
Phone
(651) 430-0036
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11475 MN Primary

Addresses

Primary practice location

1395 Curve Crest Blvd W
Stillwater, MN 55082-6069

Mailing address

15149 Old Guslander TRL N
Marine on Saint Croix, MN 55047-8709
Phone (651) 433-8510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000499 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446551980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962523969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15149 OLD GUSLANDER TRL N",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550478709",
            "telephone_number": "651-433-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826069",
            "telephone_number": "651-430-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNASON",
        "first_name": "SHARLENE",
        "middle_name": "KAE DEJONGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.