Jessica Ahn, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60399470 Issued in WA

Practice address

17265 SE Wax Rd Ste 101
Covington, WA 98042-9102

Phone

(253) 639-6868

NPI assigned

Aug 14, 2013

Last updated

Aug 14, 2013By 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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1275966178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD STE 101",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD STE 101",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429102",
            "telephone_number": "253-639-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "JESSICA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60399470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acupuncture Center, P. S.
• Archie Adams, M.D.
• Affordable Dental Care (Steven L Paige DDS)
• William A Agan
• Helena Ahn, O.D.
• Akm Enterprises, Inc (Cascades Chiropractic)
• Farah Waleed Al Masslawi
• Farah Al-Hawasli, MPH, RDN
• Sundus A Ali
• Hannan Alshekaky

• Dentist in Covington, WA
• Providers in Covington, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.