John Fairbanks

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DENT.DE.70013106 Issued in WA

Practice address

3018 N Argonne Rd
Millwood, WA 99212-2179

Phone

(509) 928-5444

NPI assigned

Mar 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Quirt, Gibree, Mongrain, P.C.

  • General Practice Dentistry
  • Millwood, WA
  • NPI 1891451985

  General Practice

  NPD
• Millwood Family Dental Inc

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1033665880
  NPD (past)

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1023717600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 N ARGONNE RD",
            "city": "MILLWOOD",
            "state": "WA",
            "postal_code": "992122179",
            "telephone_number": "509-993-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 N ARGONNE RD",
            "city": "MILLWOOD",
            "state": "WA",
            "postal_code": "992122179",
            "telephone_number": "509-928-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "509-993-6198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DENT.DE.70013106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambition Physical Therapy and Fitness, PLLC
• Jennifer Breneman, PHARMD
• Debra K Campbell, RPH
• Melissa L Dailey, PHARMD
• Danu Therapy, PS
• Kenisha Yvette Garcia
• Kodiak Healthcare
• Ryan Nicole Leinen, LMT
• Jesse Lee Luhman, PHARMACIST
• Samantha Nichole Magby, NP

• All providers in Millwood, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.