Active NPI
Nathan Anton Jarnot, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Brainerd, MN
National Provider Identifier
1710274261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- S133
- Practice address
- 1903 S 6TH St Ste 4
Brainerd, MN 56401-4599 - Phone
- (218) 454-1823
- Fax
- (218) 829-1729
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | S133 | MN | Primary |
Addresses
Primary practice location
1903 S 6TH St Ste 4
Brainerd, MN 56401-4599
Mailing address
1903 S 6TH St Ste 4
Brainerd, MN 56401-4599
Phone (218) 454-1823
Other practice location 1
3201 Pine Ridge Ave NW Ste B
Bemidji, MN 56601-5101
Phone (218) 454-1823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral and Maxillofacial Surgery Associates, LTD | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
3201 Pine Ridge Ave NW
#B
Bemidji, MN 56601
Phone (218) 454-1823
1903 S 6th St
Ste 4
Brainerd, MN 56401
Phone (218) 454-1823
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Brainerd, MN
- NPI 1942382379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1710274261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 S 6TH ST STE 4",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564014599",
"telephone_number": "218-454-1823",
"fax_number": "218-829-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 S 6TH ST STE 4",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564014599",
"telephone_number": "218-454-1823",
"fax_number": "218-829-1729"
}
],
"practiceLocations": [
{
"address_1": "3201 Pine Ridge Ave NW Ste B",
"address_purpose": "LOCATION",
"city": "Bemidji",
"state": "MN",
"postal_code": "566015101",
"country_code": "US",
"telephone_number": "218-454-1823",
"fax_number": "218-829-1729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARNOT",
"first_name": "NATHAN",
"middle_name": "ANTON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MN",
"license": "S133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.