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

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

State licenses

Practice roles

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

• Grittners Dental PLLC

  • 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.