Jodi W Funk

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00001693 Issued in WA

Legal business name

JODI W FUNK

Practice address

2829 S Grand Blvd
Ste 301
Spokane, WA 99203

Phone

(509) 747-4242

Fax

(509) 747-3512

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jodi W Funk, DDSNPI 1679648539

Title

Owner Presidnet

Phone

(509) 747-4242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jodi W Funk, DDS

  • Dentist
  • Spokane, WA
  • NPI 1679648539
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1235204181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S GRAND BLVD",
            "address_2": "STE 301",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "509-747-4242",
            "fax_number": "509-747-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 S GRAND BLVD",
            "address_2": "STE 301",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "509-747-4242",
            "fax_number": "509-747-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI W FUNK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRESIDNET",
        "authorized_official_telephone_number": "509-747-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF SOCIAL & HEALTH S",
            "identifier": "5021091",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bambi Jimenez
• Megan Marie Jimeno, MS CCC-SLP
• Abigail Jindra
• JNM Compassion Healthcare Inc (Right at Home of Spokane)
• Joan C Zimmer, Arnp, P.S.
• Joel Morris DMD PLLC (Wandermere Family Dentistry)
• Kristin Leonora Joham, CCC-SLP
• Phillip Andrew Johannessen, PT
• John a. Adams, M.D., P.S.
• John Andrew Van Gemert DDS PS

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, 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 Jun 18, 2008; 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.