Individual provider Active NPI

Nathan Anton Jarnot, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Brainerd, MN
National Provider Identifier
1710274261
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S133 Issued in MN
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

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807002085 MN Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 7113233859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery Associates, LTD Oral and Maxillofacial Surgery CurrentSince Jun 17, 2026 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.

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

Verify at the official NPI Registry.