Individual provider Active NPI

Jaimie Nicole Hoiland, DDS

  • General Practice Dentistry
  • Dayton, MN
National Provider Identifier
1093851354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12270 Issued in MN
Practice address
13551 Balsam Lane
Dayton, MN 55327
Phone
(763) 422-1714
Fax
(763) 712-5754
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12270 MN Primary

Addresses

Primary practice location

13551 Balsam Lane
Dayton, MN 55327

Mailing address

4001 Sheridan Ave N
Minneapolis, MN 55412
Phone (612) 710-2113

Other names 1

  • Jaimie Nicole Little Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001753 MN Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0648573832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raintree Dental General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093851354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 SHERIDAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55412",
            "telephone_number": "612-710-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13551 BALSAM LANE",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "55327",
            "telephone_number": "763-422-1714",
            "fax_number": "763-712-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOILAND",
        "first_name": "JAIMIE",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIMIE",
            "last_name": "LITTLE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, MN

Sources for this page

Verify at the official NPI Registry.