Active NPI
Danika Elizabeth Jackson, DDS
- Dentist
- Maple Grove, MN
National Provider Identifier
1699393942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14382
- Practice address
- 12000 Elm Creek Blvd N Ste 230
Maple Grove, MN 55369-7075 - Phone
- (763) 297-2726
- NPI assigned
- Jul 13, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D14382 | MN | Primary |
Addresses
Primary practice location
12000 Elm Creek Blvd N Ste 230
Maple Grove, MN 55369-7075
Mailing address
6899 Black Duck Dr
Lino Lakes, MN 55014-1354
Phone (612) 940-0673
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 |
|---|---|---|---|
| D14382 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775865600000",
"number": "1699393942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6899 BLACK DUCK DR",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550141354",
"telephone_number": "612-940-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 ELM CREEK BLVD N STE 230",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697075",
"telephone_number": "763-297-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DANIKA",
"middle_name": "ELIZABETH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2026-04-11",
"certification_date": "2026-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.