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Jacqueline Medina, DDS
NPI 1679718514 · General Practice Dentistry · Minneapolis, MN
Jacqueline Medina, DDS is a General Practice Dentistry provider in Minneapolis, MN (NPI 1679718514).
Provider details
- NPI number
- 1679718514
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37453 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
515 Delaware St Se Fl 6
Minneapolis, MN 55455-0357
Phone: (612) 625-5945
Street-level locationGet directions
Mailing address
7-530 Moos Tower
Minneapolis, MN 55455-0357
Registry dates
- Enumerated
- 2008-12-05
- Last updated
- 2019-06-04
Frequently asked questions
- What is Jacqueline Medina's NPI number?
- Jacqueline Medina's National Provider Identifier (NPI) is 1679718514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Medina's specialty?
- Jacqueline Medina is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jacqueline Medina located?
- Jacqueline Medina's practice location on file with NPPES is 515 Delaware St Se Fl 6, Minneapolis, MN 55455-0357.
- What is Jacqueline Medina's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Medina is (612) 625-5945.
- Is Jacqueline Medina's NPI active?
- Yes — Jacqueline Medina's NPI (1679718514) is active in the NPPES registry as of the last update on 2019-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.