Active NPI
Jennifer Gann, RDH
- Dental Hygienist
- Otisville, MI
National Provider Identifier
1679071997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 380 N State Rd
Otisville, MI 48463-9486 - Phone
- (810) 631-4524
- NPI assigned
- Feb 1, 2018
- 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 | Primary |
Addresses
Primary practice location
380 N State Rd
Otisville, MI 48463-9486
Mailing address
380 N State Rd
Otisville, MI 48463-9486
Other practice location 1
8326 N Saginaw Rd
Mount Morris, MI 48458-1648
Phone (810) 687-5040
Other names 1
- Jennifer Simmonds
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Family Dental PLLC | Past | Accepting new patients | |
| Great Lakes Family Dental Group - Otisville, P.C. | Past | Accepting new patients | |
| G & J Dental PC | Past | Accepting new patients | |
| Ao of Mt Morris PLLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Mount Morris, MI
- NPI 1043855943
-
- General Practice Dentistry
- Otisville, MI
- NPI 1649160995
-
- General Practice Dentistry
- Otisville, MI
- NPI 1568554681
-
- Dental Clinic/Center
- Mount Morris, MI
- NPI 1841957107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1679071997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 N STATE RD",
"city": "OTISVILLE",
"state": "MI",
"postal_code": "484639486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 N STATE RD",
"city": "OTISVILLE",
"state": "MI",
"postal_code": "484639486",
"telephone_number": "810-631-4524"
}
],
"practiceLocations": [
{
"address_1": "8326 N Saginaw Rd",
"address_purpose": "LOCATION",
"city": "Mount Morris",
"state": "MI",
"postal_code": "484581648",
"country_code": "US",
"telephone_number": "810-687-5040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANN",
"first_name": "JENNIFER",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "SIMMONDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Otisville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.