FACE AND JAW SURGEONS PC
NPI 1396343737
Dentist - Oral and Maxillofacial Surgery in Jamestown, ND

Active since October 16, 2020
1517 12 AVE NE, JAMESTOWN, ND 58401(701) 239-5969 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Face And Jaw Surgeons Pc NPPES

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

FACE AND JAW SURGEONS PC (NPI 1396343737) is a healthcare organization registered as an oral and maxillofacial surgery in Jamestown, North Dakota and active in the NPI registry since October 2020. The organization lists Melinda Kleinjan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396343737
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFACE AND JAW SURGEONS PC
Location Address1517 12 AVE NEJamestown, ND 58401
Mailing Address4344 20th Ave S Ste 2Fargo, ND 58103-7436 · (701) 239-5969 · Fax (701) 239-0034
Organization SubpartYes
Authorized OfficialMelinda KleinjanOffice Manager · (701) 258-7220
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1396343737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1517 12 AVE NE, Jamestown, ND 58401

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Face And Jaw Surgeons Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth DakotaEnrollment IDO20040514000837Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Face And Jaw Surgeons PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)7
Oral Surgery6
Maxillofacial Surgery1

Clinicians, nearest first (14)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1083172969
5225 23RD AVE S
Fargo, ND 58104
(701) 417-2575
✔ Accepts Medicare86 mi
Maxillofacial Surgery
NPI 1629147723
4344 20TH AVE S SUITE 2
Fargo, ND 58103
(701) 239-5969
✔ PECOS87 mi
Oral Surgery
NPI 1508048521
4344 20TH AVE S
Fargo, ND 58103
(701) 239-5969
✔ PECOS✔ Accepts Medicare87 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134393135
1720 UNIVERSITY DR S RT 1707
Fargo, ND 58103
(701) 234-6259
✔ Accepts Medicare90 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922558170
801 BROADWAY N
Fargo, ND 58102
(701) 234-2000
✔ Accepts Medicare90 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205133873
900 E BROADWAY AVE
Bismarck, ND 58501
(701) 530-7000
✔ Accepts Medicare99 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619208675
900 E BROADWAY AVE
Bismarck, ND 58501
(701) 530-7000
✔ Accepts Medicare99 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205557857
300 N 7TH ST
Bismarck, ND 58501
(701) 323-6000
✔ Accepts Medicare99 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841389095
430 E SWEET AVE
Bismarck, ND 58504
(701) 222-4900
100 mi
Oral Surgery
NPI 1639248719
2845 36 AVE SOUTH
Grand Forks, ND 58201
(701) 775-4444
✔ PECOS✔ Accepts Medicare101 mi
Oral Surgery
NPI 1003859117
1730 BURNT BOAT DR STE 300
Bismarck, ND 58503
(701) 258-7220
✔ PECOS✔ Accepts Medicare101 mi
Oral Surgery
NPI 1205366002
7-174 MOOS TOWER 515 DELAWARE ST. S U OF M ORAL SURGERY
Minneapolis, MN 55455
(701) 306-4741
✔ PECOS✔ Accepts Medicare296 mi
Oral Surgery
NPI 1144541533
1959 NE PACIFIC ST
Seattle, WA 98195
(559) 348-8280
✔ PECOS✔ Accepts Medicare1,107 mi
Oral Surgery
NPI 1669691200
2242 SANTA CLARA AVE
Alameda, CA 94501
(510) 523-1862
✔ PECOS✔ Accepts Medicare1,354 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Face And Jaw Surgeons PC's NPI number?

The NPI number for Face And Jaw Surgeons PC is 1396343737. It was assigned to this organization in the NPPES registry on October 16, 2020.

Where is Face And Jaw Surgeons PC located?

Face And Jaw Surgeons PC is located at 1517 12 Ave NE, Jamestown, ND 58401. The listed phone number is (701) 239-5969.

What is Face And Jaw Surgeons PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Face And Jaw Surgeons PC enrolled in Medicare?

Yes. Face And Jaw Surgeons PC is registered in the Medicare PECOS enrollment system.

When is Face And Jaw Surgeons PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Dakota, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Face And Jaw Surgeons PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Face And Jaw Surgeons PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (7), Oral Surgery (6) and Maxillofacial Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Face And Jaw Surgeons PC accept?

Health plans from Blue Cross Blue Shield of North Dakota list Face And Jaw Surgeons PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Face And Jaw Surgeons PC was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.