Jessica Lee Hardy, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13580 Issued in MN

Practice address

320 2ND Ave S
Ste 106
Moorhead, MN 56560-2602

Phone

(218) 236-1666

Fax

(218) 236-0543

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica L. Hardy, DDS, PA

  • General Practice Dentistry
  • Moorhead, MN
  • NPI 1174906911
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1861875692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 2ND AVE S",
            "address_2": "STE 106",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602602",
            "telephone_number": "218-236-1666",
            "fax_number": "218-236-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 2ND AVE S",
            "address_2": "STE 106",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602602",
            "telephone_number": "218-236-1666",
            "fax_number": "218-236-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Elizabeth Hanson
• Molly Hanson
• Nikki Jean Hanson
• Paige Joy Hanson, LMT, LR
• Sandra Jean Hanson, LADC
• Mikaela Harkema
• Harmonic Medical Group of Minnesota, P.C.
• Chloe Victoria Harris
• Amber Nickol Harrop
• Kelly Jaron Hart, PHARMD RPH

• Dentist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.

Verify at the official NPI Registry.