Anna-Jane Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61401456 Issued in WA

Practice address

504 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1304

Phone

(253) 201-4535

NPI assigned

Jul 11, 2023

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

State licenses

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1093494767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 ROSS AVE",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279753",
            "telephone_number": "571-405-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BARNES BLVD",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984381304",
            "telephone_number": "253-201-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNA-JANE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61401456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Elizabeth Shutt-Hoblet, PT, DPT, DSC
• Dillon Santos Siebrecht
• Parminder Singh, MD
• Surya Singh, DO
• Marina Singian
• Colin Dennis Smith, DDS
• Steele Alan Smith, DC
• Rita Isabel Snyder, MD
• Michele Ayn Soltis, M.D., M.P.H.
• Elizabeth J Sorenson, ARNP

• General Practice Dentistry in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.