Active NPI
Alesha Jarmusch, D160083865
- Dental Assistant
- Lake Stevens, WA
National Provider Identifier
1295171403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- D160083865
- Practice address
- 12506 16TH St NE
#G6
Lake Stevens, WA 98258-7725 - Phone
- (253) 583-6832
- NPI assigned
- May 14, 2013
- Last updated
- May 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | D160083865 | WA | Primary |
Addresses
Primary practice location
12506 16TH St NE
#G6
Lake Stevens, WA 98258-7725
Mailing address
12506 16TH St NE
#G6
Lake Stevens, WA 98258-7725
Phone (253) 583-6832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D160083865 | WA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1295171403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12506 16TH ST NE",
"address_2": "#G6",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982587725",
"telephone_number": "253-583-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12506 16TH ST NE",
"address_2": "#G6",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982587725",
"telephone_number": "253-583-6832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARMUSCH",
"first_name": "ALESHA",
"credential": "D160083865",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "WA",
"license": "D160083865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.