Janie Lynn Busk, DMD
Individual provider Active NPI Dentist · Okanogan, WA
NPI 1194902882 · NPPES record last updated Nov 7, 2011
Key facts
- NPI
- 1194902882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DE00011221 (WA)
- Practice address
- 626 Second Ave
Okanogan, WA 98840-1340 - Phone
- (509) 422-6705
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00011221 | WA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00011221 | WA | Yes |
Addresses
Primary practice location
626 Second Ave
Okanogan, WA 98840-1340
Mailing address
PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-6705
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5056999 | Medicaid | WA |
Other names
- Janie Lynn Marples
Other providers in Okanogan, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.