Jane K McIntosh

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

BLDG 11572 17TH and C St
JBLM, WA 98433

Phone

(253) 495-6562

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1073264941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 11572 17TH AND C ST",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-967-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 11572 17TH AND C ST",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-495-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JANE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Herrala, DMD
• Pamela Jernigan, RDH
• Angela Maria Lewis
• Kevin Lok, MD
• Sammy Martinez, 164W00000X
• Sandra Christine Milton, PA-C
• Katrina Salinas Monti, PA-C
• Munawar P. Mumtaz, M.D.
• Mansuru Mustapha, PHYSICIAN ASSISTANT
• Dennis Abuga Obungu

• Dental Assistant in JBLM, WA
• Providers in JBLM, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.