Jessica L. Hardy, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13580 Issued in MN

Legal business name

JESSICA L. HARDY, DDS, PA

Practice address

320 2ND Ave S
Ste 106
Moorhead, MN 56560-2602

Phone

(218) 236-1666

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Deborah Osmundson

Title

Office Manager

Phone

(218) 236-1666

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jessica Lee Hardy, D.D.S.

  • Dentist
  • Moorhead, MN
  • NPI 1861875692
  NPD (past)
• David Calvin Wentz, DDS

  • General Practice Dentistry
  • Moorhead, MN
  • NPI 1194841916
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1174906911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 2ND AVE S",
            "address_2": "STE 106",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602602",
            "telephone_number": "218-236-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 2ND AVE S",
            "address_2": "STE 106",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602602",
            "telephone_number": "218-236-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA L. HARDY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "OSMUNDSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-236-1666"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey C, Harvey D.D.S., SC.D., P.a.
• Jacquelin Jenkins
• Sara L Jensen Fritz, MS LP
• Timothy Jensen
• Jimpat Inc
• Aaron Johnson
• Bria Johnson
• Jane Johnson
• Julie Michele Johnson, MS CCC-SLP

• General Practice Dentistry in Moorhead, MN
• Providers in Moorhead, 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 May 12, 2016; 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.