Active NPI
Jennah Calverly, DDS
- Dentist
- Horace, ND
National Provider Identifier
1730754847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14620
- Practice address
- 594 Main St N
Horace, ND 58047-4640 - Phone
- (701) 552-6001
- NPI assigned
- May 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D14620 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
594 Main St N
Horace, ND 58047-4640
Mailing address
594 Main St N
Horace, ND 58047-4640
Phone (701) 552-6001
Other practice location 1
2120 US-14 East
Rochester, MN 55904
Phone (507) 258-7934
Other practice location 2
520 Main St
Hawley, MN 56549-4519
Phone (218) 483-1038
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 |
|---|---|---|---|
| D14620 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Family Dental P.C. | Past | Accepting new patients | |
| Apple Tree Dental | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Horace, ND
- NPI 1487105276
-
- General Practice Dentistry
- Hawley, MN
- NPI 1346301454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1730754847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 MAIN ST N",
"city": "HORACE",
"state": "ND",
"postal_code": "580474640",
"telephone_number": "701-552-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 MAIN ST N",
"city": "HORACE",
"state": "ND",
"postal_code": "580474640",
"telephone_number": "701-552-6001"
}
],
"practiceLocations": [
{
"address_1": "2120 US-14 East",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "55904",
"country_code": "US",
"telephone_number": "507-258-7934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 Main St",
"address_purpose": "LOCATION",
"city": "Hawley",
"state": "MN",
"postal_code": "565494519",
"country_code": "US",
"telephone_number": "218-483-1038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALVERLY",
"first_name": "JENNAH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14620",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horace, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.