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JAI RESTORATIVE AESTHETICS
NPI 1184486003
Specialist/Technologist, Other in St Louis Park, MN

Active since January 25, 2024
5808A W 36TH ST, ST LOUIS PARK, MN 55416(612) 636-1808 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jai Restorative Aesthetics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAI RESTORATIVE AESTHETICS (NPI 1184486003) is a healthcare organization registered as a specialist/technologist, other in St Louis Park, Minnesota and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Minneapolis and lists Jennifer Williams, Billing Manger, as its authorized official.

NPPES Registry Identity

NPI1184486003
Entity TypeOrganization
Primary Taxonomy246Z00000X
Legal Business NameJAI RESTORATIVE AESTHETICS
Location Address5808A W 36TH STSt Louis Park, MN 55416-5108
Mailing Address5808a W 36th StSt Louis Park, MN 55416-5108 · (612) 636-1808
Phone(612) 636-1808
Organization SubpartNo
Authorized OfficialJennifer WilliamsBilling Manger · (407) 982-4876
Enumeration DateJanuary 25, 2024
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1184486003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
5808A W 36TH ST, St Louis Park, MN 55416
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Secondary Practice Location 1

Location 15451 Lyndale Ave SMinneapolis, MN 55419-1717 · Phone (612) 636-1808

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jai Restorative Aesthetics's NPI number?

The NPI number for Jai Restorative Aesthetics is 1184486003. It was assigned to this organization in the NPPES registry on January 25, 2024.

Where is Jai Restorative Aesthetics located?

Jai Restorative Aesthetics is located at 5808A W 36th St, St Louis Park, MN 55416. The listed phone number is (612) 636-1808.

What is Jai Restorative Aesthetics's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Jai Restorative Aesthetics was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.