Jim Janakievski, DDS MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00010050 Issued in WA

Practice address

4050 S 19TH St
101
Tacoma, WA 98405

Phone

(253) 752-6622

Fax

(253) 756-5875

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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.

Opted out of Medicare

Yes, effective May 2, 2016 through May 2, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David P Mathews DDS PS

  • Periodontics
  • Tacoma, WA
  • NPI 1265567184
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346376225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 S 19TH ST",
            "address_2": "101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-752-6622",
            "fax_number": "253-756-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 S 19TH ST",
            "address_2": "101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-752-6622",
            "fax_number": "253-756-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANAKIEVSKI",
        "first_name": "JIM",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00010050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Henry James, PHD
• Jamesen Birkel Pmhnp, LLC (Northwest Wellness Telepsychiatry)
• Jennifer Jamieson, OT
• Sharon A Jamieson, ARNP
• Tina Marie Jamison
• Zachary Campagna Janatpour, MD, PHD
• Janejarah Hang
• Gloria Jang, DO
• Janet Jang, MD
• Melissa Anne Janke, SOCIAL WORKER

• Periodontics in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.