Jai Restorative Aesthetics

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

JAI RESTORATIVE AESTHETICS

Practice address

5808A W 36TH St
St Louis Park, MN 55416-5108

Phone

(612) 636-1808

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Williams

Title

Billing Manger

Phone

(407) 982-4876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dana Shelso

  • Other Specialist/Technologist
  • Minneapolis, MN
  • NPI 1578325494

  Specialist/Technologist, Other

  NPD (past)

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1184486003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808A W 36TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165108",
            "telephone_number": "612-636-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808A W 36TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165108",
            "telephone_number": "612-636-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5451 Lyndale Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554191717",
            "country_code": "US",
            "telephone_number": "612-636-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAI RESTORATIVE AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "407-982-4876"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick Samuel Jacobson-Dunlop, MD
• Sarah Jacobson, PT, DPT
• Roshini Ahalya Jadoo, PHARMD
• Evelyn O. Jaffee, L.AC.
• Madeline Rose Jagerson, MD
• Jain Dental St. Louis Park, PLLC
• John S Jakala, PA
• Robert J Jaksa, MD
• Emily Ruth James
• Haleigh Anne James, MD

• Other Specialist/Technologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Other Specialist/Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.