Provider Type Icon

CHRISTY JO FOGARTY RDH ADT NPI 1649550260


NPI Information

NPI: 1649550260
Provider Name: CHRISTY JO FOGARTY, RDH, ADT
Classification: Dental Therapist - 125J00000X
Entity Type: Individual
Address:
636 BROADWAY ST NE
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 746-1530
Get Directions

Christy Jo Fogarty, RDH, ADT is a dental therapist in Minneapolis, MN. The provider is a Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. Christy Jo Fogarty, RDH, ADT NPI is 1649550260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

636 BROADWAY ST NE
MINNEAPOLIS, MN
ZIP 55413-164
Phone: (612) 746-1530
Fax: (612) 746-1531

The enumeration date for this NPI number is 8/26/2011 and was last updated on 11/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental HygienistH5961MINNESOTANo
2125J00000XDental TherapistDT02MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.