JOHN MICHAEL DAUGHERTY D.D.S.
NPI 1386732501
Dentist - General Practice in Bloomington, MN

Q: What is John Daugherty's NPI number?

The NPI number for John Daugherty is 1386732501. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is John Daugherty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Daugherty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2006

8900 PENN AVE S, SUITE 202, BLOOMINGTON, MN 55431(952) 888-1861(952) 888-1883 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Michael Daugherty D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MICHAEL DAUGHERTY D.D.S. (NPI 1386732501) is an individual general practice provider in Bloomington, Minnesota, licensed in Minnesota (7408) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1386732501

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJOHN MICHAEL DAUGHERTYCredential: D.D.S.

Location Address8900 PENN AVE S, SUITE 202Bloomington, MN 55431-2068

Mailing Address8900 Penn Ave S, Suite 202Bloomington, MN 55431-2068 · (952) 888-1861 · Fax (952) 888-1883

Phone(952) 888-1861

Fax(952) 888-1883

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386732501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 7408

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8900 PENN AVE S, Bloomington, MN 55431

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN S ELIJAH D.C.

Chiropractor

8900 PENN AVE S, SUITE #116
BLOOMINGTON, MN 55431

Hennepin County (952) 884-3700

HASEEN SYED DDS

Dentist

8900 PENN AVE S, SUITE #202
BLOOMINGTON, MN 55431

Hennepin County (952) 888-1861

DR. GREGORY ALLAN HARMS D.D.S.

Dentist

8900 PENN AVE S, STE 201
BLOOMINGTON, MN 55431

Hennepin County (952) 884-5242

KUIPERS ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

8900 PENN AVE S, SUITE 216
BLOOMINGTON, MN 55431

Hennepin County (952) 884-9161

DR. CHERYL THORESEN PH.D., LP

Psychologist

8900 PENN AVE S, SUITE 301
BLOOMINGTON, MN 55431

Hennepin County (952) 224-9558

DR. JEFFREY D. ERICKSON D.D.S, P.A.

Dentist (Endodontics)

8900 PENN AVE S, 105
BLOOMINGTON, MN 55431

Hennepin County (952) 884-5500

RICHARD C. RENDER, D.D.S., P.A.

Dentist

8900 PENN AVE S, SUITE 307
BLOOMINGTON, MN 55431

Hennepin County (952) 884-7706

DR. RICHARD CHARLES RENDER DDS

Dentist

8900 PENN AVE S, #307
BLOOMINGTON, MN 55431

Hennepin County (952) 884-7706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Daugherty's NPI number?

The NPI number for John Daugherty is 1386732501. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is John Daugherty located?

John Daugherty practices at 8900 Penn Ave S Suite 202, Bloomington, MN 55431. The listed phone number is (952) 888-1861.

What is John Daugherty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Daugherty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.