Jadilyn Nguyen Grittner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12798 Issued in MN

Practice address

425 7TH St NW
Cass Lake, MN 56633-3360

Phone

(218) 335-3414

Fax

(218) 335-3368

NPI assigned

Jul 28, 2010

Last updated

Mar 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Grittners Dental PLLC

  dba Highgrove Dental Care

  • Dental Clinic/Center
  • Saint Paul, MN
  • NPI 1396332425
  NPD Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1124332440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3414",
            "fax_number": "218-335-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3414",
            "fax_number": "218-335-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRITTNER",
        "first_name": "JADILYN",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Frazer, LPN
• Jeffery Allen Geiger
• Bernadette Marie Gotchie, RN, BSN,PHN,DON
• Lindsay M Gray, DNP, WHNP, FNP
• Megan Elizabeth Griffey, MOT, OTR/L
• Amy J Hatcher, MD
• Melinda Haubrich, LPN
• Jin Hee Hayward, PHARMD
• Becky Hazeldine, RN
• Jana Jolene Heger, GNP-BC

• General Practice Dentistry in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.