Active NPI
Jana Lynne Voss, DDS
- General Practice Dentistry
- Maplewood, MN
National Provider Identifier
1124187620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D11354
- Practice address
- 1600 Saint Johns Blvd
Suite 100
Maplewood, MN 55109-1183 - Phone
- (651) 770-7585
- Fax
- (651) 770-6021
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11354 | MN | Primary |
Addresses
Primary practice location
1600 Saint Johns Blvd
Suite 100
Maplewood, MN 55109-1183
Mailing address
6539 Langer LN
Lino Lakes, MN 55038-7737
Phone (651) 762-2884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94943400 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11354 | MN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124187620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6539 LANGER LN",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550387737",
"telephone_number": "651-762-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAINT JOHNS BLVD",
"address_2": "SUITE 100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091183",
"telephone_number": "651-770-7585",
"fax_number": "651-770-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSS",
"first_name": "JANA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D11354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94943400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.