Active NPI
Jamie Ann Grajewski
- Dental Hygienist
- Two Harbors, MN
National Provider Identifier
1619258357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 11062-16
- Practice address
- 1313 Fairgrounds Rd
Two Harbors, MN 55616-4600 - Phone
- (218) 206-4327
- NPI assigned
- Sep 8, 2011
- Last updated
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 11062-16 | WI | Primary |
Addresses
Primary practice location
1313 Fairgrounds Rd
Two Harbors, MN 55616-4600
Mailing address
3717 E 8TH St
Superior, WI 54880-4181
Phone (715) 559-9793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11062-16 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1619258357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 E 8TH ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548804181",
"telephone_number": "715-559-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 FAIRGROUNDS RD",
"city": "TWO HARBORS",
"state": "MN",
"postal_code": "556164600",
"telephone_number": "218-206-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAJEWSKI",
"first_name": "JAMIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "11062-16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Two Harbors, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.