Jessica Evan Grant, RDH (REGISTERED DENT

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH0000008919 Issued in TN

Practice address

4601 Brainerd Rd
Chattanooga, TN 37411

Phone

(423) 698-6005

Fax

(423) 698-6410

NPI assigned

Feb 6, 2023

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

Other names 1

• Jessica Evan Miles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1396441895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37411",
            "telephone_number": "423-698-6005",
            "fax_number": "423-698-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37411",
            "telephone_number": "423-698-6005",
            "fax_number": "423-698-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JESSICA",
        "middle_name": "EVAN",
        "credential": "RDH (REGISTERED DENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "DH0000008919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MILES",
            "middle_name": "EVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zoe E Graham, RBT
• Jason Wayne Grajkowski
• Stoyan Grakov, M.D.
• Kristen Marie Granberry
• Grand Transport Services, Inc.
• Jo Ann Grant, NP
• Katherine Elizabeth Grant, DPT
• Mary Grant
• Mary Katherine Grant, APRN, CNM
• Megan Grant, M.A. LPC MHSP

• Dental Hygienist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.