Jan B Norvold DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00003720 Issued in WA

Legal business name

JAN B NORVOLD DDS PS

Practice address

5425 Rainier Ave S
Seattle, WA 98118-2455

Phone

(206) 725-3667

Fax

(206) 725-3838

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jan B Norvold, DDSNPI 1023224144

Title

Dentist

Phone

(206) 725-3667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jan Bennett Norvold, D.D.S.

  • Dentist
  • Seattle, WA
  • NPI 1023224144
  NPD (past) Authorized official
• Ruby Azcueta

  • Dental Hygienist
  • Seattle, WA
  • NPI 1073735791
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447475934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182455",
            "telephone_number": "206-725-3667",
            "fax_number": "206-725-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182455",
            "telephone_number": "206-725-3667",
            "fax_number": "206-725-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN B NORVOLD DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORVOLD",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-725-3667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00003720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5322607",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jamison
• Ismael A Jammeh
• Angelo John Jamora, CNM, ARNP
• Mina Marie Jamshidpour
• Manika Jamwal, M.D.
• Fendi Jan
• Patrice Marie Janda, MSW, LICSW
• Jill Jandreau, MSPT
• Ana Maria Janecek, MSN, NNP-BC
• Anna Williams Janecek, MD

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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 Aug 22, 2020; 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.