Individual provider Active NPI

Jacqueline Ann Savstrom, RDH

  • Dental Hygienist
  • Oak Park Heights, MN
National Provider Identifier
1922243963
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H2765 Issued in MN
Practice address
5600 Norwich Pkwy
Oak Park Heights, MN 55082-6482
Phone
(651) 366-0923
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H2765 MN Primary

Addresses

Primary practice location

5600 Norwich Pkwy
Oak Park Heights, MN 55082-6482

Mailing address

1725 Tower Dr W
Suite #130
Stillwater, MN 55082-7585
Phone (651) 351-0890

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

LicenseStateTypeSpecialty
H2765MNMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignified Dental Past Accepting new patients

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1922243963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 TOWER DR W",
            "address_2": "SUITE #130",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827585",
            "telephone_number": "651-351-0890",
            "fax_number": "651-351-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 NORWICH PKWY",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550826482",
            "telephone_number": "651-366-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVSTROM",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.