Organization Active NPI

Jet Dental of Minnesota PLLC

  • General Practice Dentistry
  • Brooklyn Center, MN
National Provider Identifier
1063386928
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JET DENTAL OF MINNESOTA PLLC
Practice address
6160 Summit Dr N Ste 205
Brooklyn Center, MN 55430-2118
Phone
(801) 430-9262
NPI assigned
Oct 2, 2025
Organization subpart
Yes
Parent organization
JET MANAGEMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Pooja SantwaniNPI 1619151248
Title
Owner
Phone
(773) 909-5574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6160 Summit Dr N Ste 205
Brooklyn Center, MN 55430-2118

Mailing address

6160 Summit Dr N Ste 205
Brooklyn Center, MN 55430-2118
Phone (801) 430-9262

National Provider Directory

National Provider Directory

Locations

6160 Summit Dr N
Ste 205
Brooklyn Ctr, MN 55430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1063386928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 205",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302118",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 205",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302118",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL OF MINNESOTA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "SANTWANI",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-909-5574"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.