OrganizationActive
Jai Restorative Aesthetics
NPI 1184486003 · Other Specialist/Technologist · St Louis Park, MN
Provider details
- NPI number
- 1184486003
- Entity type
- Organization
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Williams, Billing Manger(407) 982-4876
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5808a W 36th St
St Louis Park, MN 55416-5108
Phone: (612) 636-1808
Street-level locationGet directions
Mailing address
5808a W 36th St
St Louis Park, MN 55416-5108
Additional practice locations (1)
- 5451 Lyndale Ave SMinneapolis, MN 55419-1717Phone: (612) 636-1808
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.