Organization Active NPI

The Dental Office Jackson

  • Dental Clinic/Center
  • Jackson, MN
National Provider Identifier
1396468690
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THE DENTAL OFFICE JACKSON
Practice address
604 2ND St
Jackson, MN 56143-1646
Phone
(507) 847-3910
Fax
(507) 847-2868
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Dr. Hannah Caroline Brownlee, DDSNPI 1982085072
Title
Dentist/Owner
Phone
(515) 371-9712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

604 2ND St
Jackson, MN 56143-1646

Mailing address

604 2ND St
Jackson, MN 56143-1646
Phone (507) 847-3910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1396468690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 2ND ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431646",
            "telephone_number": "507-847-3910",
            "fax_number": "507-847-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 2ND ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431646",
            "telephone_number": "507-847-3910",
            "fax_number": "507-847-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL OFFICE JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWNLEE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "515-371-9712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.