Jawnt Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

JAWNT ORAL SURGERY

Practice address

15823 Westminster Way N
Shoreline, WA 98133-5928

Phone

(206) 848-5788

Fax

(206) 734-3747

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Mackenzie Fowler

Title

Office Coordinator

Phone

(360) 391-7872

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shiwoo Kim, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Shoreline, WA
  • NPI 1255873345
  NPD
• Matthew Shane Epstein, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Seattle, WA
  • NPI 1417269200
  NPD (past)

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1023766565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15823 WESTMINSTER WAY N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335928",
            "telephone_number": "206-848-5788",
            "fax_number": "206-734-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15823 WESTMINSTER WAY N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335928",
            "telephone_number": "206-848-5788",
            "fax_number": "206-734-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWNT ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "360-391-7872"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417269200",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hi@jawntsurgery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "15823 Westminster Way N",
            "city": "Shoreline",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981335928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsay Jean James
• Noelle Renee James
• Lynn Ann Jardine, LMP, LRCP, CC
• Jason Apple Counseling PLLC
• Jason W Gooch Inc
• Jayna Sekijima, DDS, PLLC
• Laura Jendusa
• Claire Southern Jenkins
• Julie Jenkins, L.AC.
• Keary Jenks, LMFT

• Oral and Maxillofacial Surgery Clinic/Center in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.