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JACQUELINE MEDINA DDS
NPI 1679718514
Dentist - General Practice in Minneapolis, MN

Active since December 05, 2008
515 DELAWARE ST SE FL 6, MINNEAPOLIS, MN 55455(612) 625-5945 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Medina Dds NPPES

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

JACQUELINE MEDINA DDS (NPI 1679718514) is an individual general practice provider in Minneapolis, Minnesota, licensed in California (37453) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1679718514
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJACQUELINE MEDINACredential: DDS
Location Address515 DELAWARE ST SE FL 6Minneapolis, MN 55455-0357
Mailing Address7-530 Moos Tower, 515 Delaware St SeMinneapolis, MN 55455-0357 · (612) 625-5945
Phone(612) 625-5945
Sole ProprietorYes
Enumeration DateDecember 5, 2008
Last NPPES UpdateJune 4, 2019
✔ NPI 1679718514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 37453
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.
515 DELAWARE ST SE FL 6, Minneapolis, MN 55455
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 4

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

REGENTS OF THE UNIVERSITY OF MINNESOTA
Clinic/Center (Dental)
515 DELAWARE ST SE FL 6
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-4777
GAVIN ALEXANDER HAGE
Dentist
515 DELAWARE ST SE FL 6
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6444
DREW KELLY BARRY DMD
Dentist
515 DELAWARE ST SE FL 6
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6444
SARA MOGENSEN SCHADEBERG DDS
Dentist
515 DELAWARE ST SE FL 6
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6444

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 Jacqueline Medina's NPI number?

The NPI number for Jacqueline Medina is 1679718514. It was assigned to this individual provider in the NPPES registry on December 5, 2008.

Where is Jacqueline Medina located?

Jacqueline Medina practices at 515 Delaware St SE Fl 6, Minneapolis, MN 55455. The listed phone number is (612) 625-5945.

What is Jacqueline Medina's specialty?

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

What insurance does Jacqueline Medina accept?

Health plans from BlueCross BlueShield of South Carolina list Jacqueline Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Medina was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.